Provider Demographics
NPI:1245027192
Name:KUNJE, MASIMBITI RABECCA (CNM)
Entity type:Individual
Prefix:
First Name:MASIMBITI
Middle Name:RABECCA
Last Name:KUNJE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BAKER AVE
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-5003
Mailing Address - Country:US
Mailing Address - Phone:781-510-6069
Mailing Address - Fax:
Practice Address - Street 1:SIGNATURE HEALTHCARE MEDICAL GROUP
Practice Address - Street 2:678 CENTRE STREET
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-941-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACNM09944367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife