Suzanne D Tietjen, BSN, NNP - Nurse Practitioner in Peoria, IL

Suzanne D Tietjen, BSN, NNP is a Nurse Practitioner - Neonatal based in Peoria, Illinois. Suzanne D Tietjen is licensed to practice in Illinois (license number 041-261586) and her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 655-2974.

NPI number for Suzanne D Tietjen is 1013173335 and her current mailing address is Po Box 1649, Peoria, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013173335.

Contact Information

Suzanne D Tietjen, BSN, NNP
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2974
Not Available



Provider's Profile

Full NameSuzanne D Tietjen
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013173335
  • Provider Enumeration Date: 08/06/2008
  • Last Update Date: 08/18/2008

Medical Identifiers

Medical identifiers for Suzanne D Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013173335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 041-261586 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzanne D Tietjen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suzanne D Tietjen, BSN, NNP
Po Box 1649,
Peoria, IL 61656-1649

Ph: (309) 671-8504
Suzanne D Tietjen, BSN, NNP
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2974

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› Verified 2 days ago


Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537
Phone: 309-624-8818    
Faye Yetton, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2015 W Austin Dr, Peoria, IL 61614
Phone: 309-256-0632    
Linda Schmidgall,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603
Phone: 309-624-5100    Fax: 309-624-5569
Sandra L. Peach, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2343    Fax: 309-655-3948
Roxanne Mclaughlin, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Brittany N Hemmele, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8600 N State Route 91, Peoria, IL 61615
Phone: 309-683-5050    Fax: 309-683-5335

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