Individual provider · Type 1 NPI
Suzanne M. Tillman, DNP, APRN, NNP-BC
Neonatal Nurse Practitioner · Casa Grande, AZ
NPI number
1639728777
Active
Practice location
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Mailing address
1608 Mulberry Lake Dr
Dacula, GA 30019-4638
Other practice locations
- 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 · (678) 312-3970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | RN102011 (GA) |
| Neonatal Nurse Practitioner | 363LN0000X | 291116 (AZ) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 11027042 (FL) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1639728777
Suzanne M. Tillman, DNP, APRN, NNP-BC's National Provider Identifier is 1639728777, issued on Sep 11, 2019. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jan 24, 2025.