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Contact Information

AMY PUCKETT, RD
13090 N 94TH DR STE 210
PEORIA, AZ85381
 Phone: 623-974-1763
 Fax: 623-972-2038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMY PUCKETT · (Female)

NPI # 1962829317
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 03/24/2014
Last updated 07/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 86009206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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