Individual provider · Type 1 NPI

Suzanne D. Tietjen, BSN, NNP

Neonatal Nurse Practitioner · Peoria, IL

NPI number 1013173335 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2974 Map

Mailing address

PO Box 1649
Peoria, IL 61656-1649

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X041-261586 (IL)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1013173335

Suzanne D. Tietjen, BSN, NNP's National Provider Identifier is 1013173335, issued on Aug 6, 2008. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Peoria, IL. The record was last updated on Aug 18, 2008.