Individual
MR. PETER DUQUETTE
Active
Individual
MR. PETER DUQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
185171
MA
367500000X
Certified Registered Nurse Anesthetist
RNA18913
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA1103
BCBS
—
01
—
NA110301
MCR PIN MA
MA
01
—
NA110302
MCR PIN MA
MA
Enumeration date
11/20/2006
Last updated
03/01/2010
Update your record
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