Provider Demographics
NPI:1033806922
Name:CAZELOT, KERA (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:KERA
Middle Name:
Last Name:CAZELOT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:KERA
Other - Middle Name:BORDELON
Other - Last Name:DAUZAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:4231 HIGHWAY 1192
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-4711
Mailing Address - Country:US
Mailing Address - Phone:318-253-6000
Mailing Address - Fax:318-240-6077
Practice Address - Street 1:4231 HIGHWAY 1192
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-4711
Practice Address - Country:US
Practice Address - Phone:318-240-6000
Practice Address - Fax:318-240-6077
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229817363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health