Provider Demographics
NPI:1932445665
Name:DUGAN, KATHERINE RITA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:RITA
Last Name:DUGAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 BELMONT ST
Mailing Address - Street 2:PRIMARY CARE 11PC
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:774-826-2778
Mailing Address - Fax:774-826-3157
Practice Address - Street 1:940 BELMONT ST # 11PC
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:774-826-2778
Practice Address - Fax:774-826-3157
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.005264363LF0000X, 363LP2300X
MARN2270215363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily