Provider Demographics
NPI:1699453274
Name:DUQUETTE, SUSAN LYNNE (ACNP-BC, RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LYNNE
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:ACNP-BC, RN
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:LYNNE
Other - Last Name:HORNBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4820 BRIGGS AVE.
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3111
Mailing Address - Country:US
Mailing Address - Phone:626-397-2573
Mailing Address - Fax:626-397-7167
Practice Address - Street 1:HUNTINGTON HOSPITAL
Practice Address - Street 2:100 W. CALIFORNIA BLVD
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3010
Practice Address - Country:US
Practice Address - Phone:626-397-2573
Practice Address - Fax:626-397-7167
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23740363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care