Cafazza, Kaitlyn Mary

Cafazza, Kaitlyn Mary is an individual health care provider with primary practice located at 1002 Peruque Crossing Ct Suite 101, O Fallon MO 63366-2362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cafazza, Kaitlyn Mary can be contacted via phone (636) 294-5900.

Contact Information

Primary practice address
1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362
Phone: (636) 294-5900
Fax: (636) 294-5908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2011037407 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2008023068 Missouri

Profile Details

NPI number 1992082325
LBN Legal business name Cafazza, Kaitlyn Mary
Credentials APRN, PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Mar 1st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992082325 NPPES
Missouri Other 2008023068 MISSOURI STATE BOARD OF NURSING

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