Deburgo, Kaneisha Rae

Deburgo, Kaneisha Rae is an individual health care provider with primary practice located at 600 Old Somerset Ave , North Dighton MA 02764-1866. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deburgo, Kaneisha Rae can be contacted via phone (508) 824-7557.

Contact Information

Primary practice address
600 Old Somerset Ave North Dighton MA 02764-1866
Phone: (508) 824-7557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN02687 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2280848 Massachusetts

Profile Details

NPI number 1952955023
LBN Legal business name Deburgo, Kaneisha Rae
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2019
Last updated May 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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