Individual
KAYCEE MAY BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Mailing address
2011 ROAD 76, PASCO, WA 99301-1871
(509) 591-5591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP70019497
WA
363LF0000X
Family Nurse Practitioner
AP70019497
WA
Other
Enumeration date
08/01/2025
Last updated
09/11/2025
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