Individual provider · Type 1 NPI
Kettly Cazaubon
Family Nurse Practitioner · Freeport, NY
NPI number
1912549049
Active
Practice location
567 Miller Ave
Freeport, NY 11520-6310
Fax (949) 695-3560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405633 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 345151 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1912549049
Kettly Cazaubon's National Provider Identifier is 1912549049, issued on Oct 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Freeport, NY. The record was last updated on Jul 22, 2025.