Cerasuolo, Kelley

Cerasuolo, Kelley is an individual health care provider with primary practice located at 200 Blossom St , Webster TX 77598-4204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Cerasuolo, Kelley can be contacted via phone (281) 204-1334.

Contact Information

Primary practice address
200 Blossom St Webster TX 77598-4204
Phone: (281) 204-1334
Fax: (832) 632-2670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 681623 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP111450 Texas

Profile Details

NPI number 1841370277
LBN Legal business name Cerasuolo, Kelley
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 3rd, 2024 - about last year

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 1841370277 NPPES
Texas MEDICAID 147339901

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