Provider Demographics
NPI:1427667526
Name:DUQUE, SUELLEN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:SUELLEN
Middle Name:
Last Name:DUQUE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 FREMONT ST OFC 6
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1271
Mailing Address - Country:US
Mailing Address - Phone:508-658-2246
Mailing Address - Fax:508-785-7969
Practice Address - Street 1:65 FREMONT ST OFC 6
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1271
Practice Address - Country:US
Practice Address - Phone:508-658-2246
Practice Address - Fax:508-785-7969
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2324971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine