Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETTLY CASSAMAJOR
Active Sole ProprietorKETTLY CASSAMAJOR is a Family Nurse Practitioner healthcare provider located in BRIDGEPORT, Connecticut. NPI 1235660267 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1235660267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2017 (9.3808452556838 yrs)
- Last Updated
- Mar 9, 2023
- License
-
12.006973 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4920 MAIN ST STE 302BRIDGEPORT, CT, 066061300Browse CT providers · Browse ZIP 06606
- Phone
- 4752104960
- Fax
- 2033710542
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MS. CAROL M BATTIN | APRN | 1720089055 |
| MS. SHERAN MAXWELL SIMO | NP | 1497740062 |
| MS. SHEILA DUBOSE-COOPER | APRN | 1144208877 |
| MS. DIANE ROSE CROLL | APRN | 1447226915 |
| HOLLY R BASHURA | APRN | 1194771758 |
| LOUIS A ROSEN | NP | 1316956915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.