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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUZANNE D TIETJEN, BSN, NNP

Active

SUZANNE D TIETJEN, BSN, NNP is a Neonatal Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1013173335 is currently active in the NPPES registry. Verify at CMS.

Neonatal Nurse Practitioner · PEORIA, IL

Registration Details

NPI Number
1013173335
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2008 (17.981730613049 yrs)
Last Updated
Aug 18, 2008
License
041-261586 (IL)

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616370001
Browse IL providers · Browse ZIP 61637
Phone
3096552974
Primary Specialty
Neonatal Nurse Practitioner
363LN0000X

Other Neonatal Nurse Practitioner Providers in PEORIA, IL

Name Credential NPI
ALESIA EATON NNP 1477587426
AMANDA L LAVALLEE APRN, CNP 1720148091
JEANNE M PERINO BSN 1497911713
MS. SHARON A KLEIN NNP, MS 1710143037
JULIE MARIE STRANDBERG 1417113739
JANESSA MICHELE JENKINS APN 1891018891
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.