Tillman, Suzanne M
Tillman, Suzanne M is an individual health care provider with primary practice located at 1800 E Florence Blvd , Casa Grande AZ 85122-5303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Tillman, Suzanne M can be contacted via phone (678) 296-9105.Contact Information
Primary practice address
1800 E Florence Blvd
Casa Grande AZ 85122-5303
Phone: (678) 296-9105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | RN102011 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 291116 | Arizona |
Profile Details
| NPI number | 1639728777 |
|---|---|
| LBN Legal business name | Tillman, Suzanne M |
| Credentials | DNP, APRN, NNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2019 |
| Last updated | Jun 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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