Tanner Cavanaugh
Physician Assistant · Modesto, CA
UnclaimedNPI 1811394976
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2014-12-04
- Practice location
- Modesto, CA
- Last NPPES update
- 2021-05-17
State licenses
- CA · Physician assistant · NPPES self-reportedListed on NPI record
- NV · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.