KAITLYN MARY CAFAZZA APRN PNP-BC NPI 1992082325

NPI Information

NPI: 1992082325
Provider Name: KAITLYN MARY CAFAZZA, APRN, PNP-BC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1002 PERUQUE CROSSING CT
SUITE 101
O FALLON, MO
ZIP 63366
Phone: (636) 294-5900
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Kaitlyn Mary Cafazza, APRN, PNP-BC is a pediatrics nurse practitioner in O Fallon, MO. Kaitlyn Mary Cafazza, APRN, PNP-BC NPI is 1992082325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1002 PERUQUE CROSSING CT
SUITE 101
O FALLON, MO
ZIP 63366-362
Phone: (636) 294-5900
Fax: (636) 294-5908

The enumeration date for this NPI number is 11/14/2011 and was last updated on 3/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	2011037407	MISSOURI	No
2	363LP0200X	Nurse Practitioner	Pediatrics	2008023068	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2008023068	OTHER	MISSOURI	MISSOURI STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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