Individual
KANEISHA RAE DEBURGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
600 OLD SOMERSET AVE, NORTH DIGHTON, MA 02764-1866
(508) 824-7557
Mailing address
600 OLD SOMERSET AVE, NORTH DIGHTON, MA 02764-1866
(508) 824-7557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2280848
MA
363LP2300X
Primary Care Nurse Practitioner
APRN02687
RI
Other
Enumeration date
07/27/2019
Last updated
05/31/2023
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