Suzanne D Tietjen, BSN, NNP

NPI #1013173335 in Peoria, Illinois

Provider Information

NPI Number
1013173335
Entity Type
Individual
Name
Suzanne D Tietjen, BSN, NNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Neonatal
Credential
BSN, NNP
Enumeration Date
Aug 6, 2008
Last Updated
Aug 18, 2008

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 655-2974

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - NeonatalNeonatal

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