SUZANNE M TILLMAN DNP APRN NNP-BC NPI 1639728777

NPI Information

NPI: 1639728777
Provider Name: SUZANNE M TILLMAN, DNP, APRN, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122
Phone: (678) 296-9105
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Suzanne M Tillman, DNP, APRN, NNP-BC is a neonatal nurse practitioner in Casa Grande, AZ. Suzanne M Tillman, DNP, APRN, NNP-BC NPI is 1639728777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122-303
Phone: (678) 296-9105

The enumeration date for this NPI number is 9/11/2019 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	RN102011	GEORGIA	No
2	363LN0000X	Nurse Practitioner	Neonatal	291116	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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