Individual provider · Type 1 NPI

Susannah Nicholson Dintzis, FNP

Family Nurse Practitioner · Peoria, IL

NPI number 1902848153 Active

Practice location

2321 N Wisconsin Ave
Peoria, IL 61603-5613

Call (309) 680-7600 Map

Fax (309) 681-4681

Mailing address

2214 N University St
Peoria, IL 61604-3221

Other practice locations

  • 800 W Romeo B Garrett Ave, Peoria, IL 61605-2207 · (309) 676-9825

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X041283996 (IL)
Family Nurse Practitioner Primary 363LF0000X209-002547 (IL)

Family Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1902848153

Susannah Nicholson Dintzis, FNP's National Provider Identifier is 1902848153, issued on Jun 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Feb 18, 2019.