Provider Demographics
NPI:1326274283
Name:DUQUETTE, HEATHER M (RD)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4805 N WOODMERE FAIRWAY
Mailing Address - Street 2:UNIT 1004
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1561
Mailing Address - Country:US
Mailing Address - Phone:480-704-9200
Mailing Address - Fax:480-704-9204
Practice Address - Street 1:4805 N WOODMERE FAIRWAY
Practice Address - Street 2:UNIT 1004
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1561
Practice Address - Country:US
Practice Address - Phone:480-704-9200
Practice Address - Fax:480-704-9204
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ894958133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered