Suzanne D Tietjen is a Neonatal in Peoria, Illinois. Suzanne D Tietjen practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Suzanne D Tietjen is 1013173335. The last update date is 2008-08-18.
Suzanne D Tietjen's current location address is Po Box 1649, Peoria, Illinois. You can contact this provider via phone number 3096718504 and fax number 3096718513. The mailing address for Suzanne D Tietjen is Po Box 1649, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne D Tietjen |
|---|---|
| Address | Po Box 1649, Peoria, Illinois |
| Phone Number | 3096718504 |
| Fax Number | 3096718513 |
| Sole Proprietor | N |
| Credentials | BSN, NNP |
NPI Number Detail
| NPI Number | 1013173335 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | Po Box 1649 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616561649 |
| Phone Number | 3096718504 |
| Fax Number | 3096718513 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | 041-261586 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Suzanne D Tietjen by the Centers for Medicare & Medicaid Services (CMS)?
The Suzanne D Tietjen has been assigned the NPI (National Provider Identifier) 1013173335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Suzanne D Tietjen is physically located?
The Suzanne D Tietjen is situated at the following address: Po Box 1649, Peoria, IL 616561649.
What is Suzanne D Tietjen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Suzanne D Tietjen is Neonatal, and the taxonomy classification code that categorizes this area of expertise is 363Ln0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013173335 to Suzanne D Tietjen?
The Suzanne D Tietjen received its 1013173335 assignment from the Centers for Medicare & Medicaid Services on 2008-08-06.
As of what date was the information regarding Suzanne D Tietjen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suzanne D Tietjen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-18.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI