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1699453274 NPI number — SUSAN LYNNE DUQUETTE ACNP-BC, RN

NPI Number: 1699453274
Health Care Provider/Practitioner: SUSAN LYNNE DUQUETTE ACNP-BC, RN

Information about “1699453274” NPI (SUSAN LYNNE DUQUETTE ACNP-BC, RN) exists in 1699453274 in HTML format HTML  |  1699453274 in plain Text format TXT  |  1699453274 in PDF (Portable Document Format) PDF  |  1699453274 in an XML format XML  formats.

NPI Number : 1699453274 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699453274",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUQUETTE",
    "FirstName": "SUSAN",
    "MiddleName": "LYNNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ACNP-BC, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HORNBERGER",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4820 BRIGGS AVE.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA CRESCENTA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91214-3111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-397-2573",
    "MailingAddressFaxNumber": "626-397-7167",
    "FirstLinePracticeLocationAddress": "HUNTINGTON HOSPITAL",
    "SecondLinePracticeLocationAddress": "100 W. CALIFORNIA BLVD",
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91105-3010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-397-2573",
    "PracticeLocationAddressFaxNumber": "626-397-7167",
    "EnumerationDate": "07/05/2023",
    "LastUpdateDate": "07/05/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "23740",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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