Individual
KAITLYN MARY CAFAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PNP-BC
Contact information
Practice address
400 MEDICAL PLZ STE 200, LAKE ST LOUIS, MO 63367-1417
(636) 625-2662
(636) 625-1186
Mailing address
400 MEDICAL PLZ STE 200, LAKE ST LOUIS, MO 63367-1417
(636) 591-1086
(636) 625-1186
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2008023068
MO
363LP0200X
Pediatric Nurse Practitioner
2011037407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008023068
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
11/14/2011
Last updated
06/13/2025
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