Tillman, Susan Elizabeth

Tillman, Susan Elizabeth is an individual health care provider with primary practice located at 20925 Professional Plz Suite 340, Ashburn VA 20147-3403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tillman, Susan Elizabeth can be contacted via phone (703) 723-8900.

Contact Information

Primary practice address
20925 Professional Plz Suite 340 Ashburn VA 20147-3403
Phone: (703) 723-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024151999 Virginia

Profile Details

NPI number 1639330038
LBN Legal business name Tillman, Susan Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Nov 26th, 2013 - about 13 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.

Request for update

Popular Providers