MRS. SUSAN ELIZABETH TILLMAN CPNP
NPI 1639330038
Nurse Practitioner - Pediatrics in Ashburn, VA
About Mrs. Susan Elizabeth Tillman Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN ELIZABETH TILLMAN CPNP (NPI 1639330038) is an individual pediatrics provider in Ashburn, Virginia, licensed in Virginia (0024151999) and active in the NPI registry since June 2008.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHBURN, VA 20147
ASHBURN, VA 20147
ASHBURN, VA 20147
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Tillman's NPI number?
The NPI number for Susan Tillman is 1639330038. It was assigned to this individual provider in the NPPES registry on June 19, 2008.
Where is Susan Tillman located?
Susan Tillman practices at 20925 Professional Plz Suite 340, Ashburn, VA 20147. The listed phone number is (703) 723-8900.
What is Susan Tillman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Susan Tillman was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Susan Elizabeth Tillman, CPNP · NPI 1639330038
Pediatrics physician in Ashburn, Virginia. Individual provider, active in the CMS NPPES registry since June 19, 2008.
## Identity
- **NPI:** 1639330038 (Entity type: Individual)
- **Enumerated:** June 19, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 0024151999 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20925 PROFESSIONAL PLZ, SUITE 340, Ashburn, VA 20147-3403
- **Phone:** (703) 723-8900
## Record status
- **NPPES last updated:** November 26, 2013
- **Other identifiers:** Other 31-1739955 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639330038) · Data from the CMS NPPES public registry.