Peter Duquette, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Nantucket, MA
NPI 1154495497 · NPPES record last updated Mar 1, 2010
Key facts
- NPI
- 1154495497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 185171 (MA)
- Practice address
- 57 Prospect Street
Nantucket, MA 02554-2799 - Phone
- (508) 825-1800
- Fax
- (508) 825-8101
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185171 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthetics of Massachusetts, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA18913 | RI | |
| Certified Registered Nurse Anesthetist | 367500000X | 185171 | MA | Yes |
Addresses
Primary practice location
57 Prospect Street
Nantucket, MA 02554-2799
Mailing address
57 Prospect Street
Nantucket, MA 02554-2799
Phone (508) 825-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA110301 | Other | MA | MCR PIN MA |
| NA110302 | Other | MA | MCR PIN MA |
| NA1103 | Other | BCBS |
Other providers in Nantucket, MA
- Lisa Anne Doran
- Dr. Suzanne Duncan MD LLC
- Taylor Dunn
- Dupont Physical Therapy PC
- Betty K Dupont
- Stacey Leah Dutra
- Kaitlyn Amy Erisman
- Darcie Linn Evans
- Karen J. Eveleth
- Kelly Ann Facteau
All providers in Nantucket, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.