Provider Demographics
NPI:1144494543
Name:CAVE, AUDRA C (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AUDRA
Middle Name:C
Last Name:CAVE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:AUDRA
Other - Middle Name:CATHLEEN
Other - Last Name:CAVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:187 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1539
Mailing Address - Country:US
Mailing Address - Phone:828-288-2881
Mailing Address - Fax:
Practice Address - Street 1:187 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1539
Practice Address - Country:US
Practice Address - Phone:828-288-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004240Medicaid
NC7004240Medicaid