Healthcare Provider Details

I. General information

NPI: 1427972173
Provider Name (Legal Business Name): REBECCA DEATON RN, MSN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 PEMBROKE ST
KINGSTON MA
02364-1152
US

IV. Provider business mailing address

172 PEMBROKE ST
KINGSTON MA
02364-1152
US

V. Phone/Fax

Practice location:
  • Phone: 781-249-0089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2367793
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: