Susannah Nicholson Dintzis
FNP | Nurse Practitioner - Primary Care
2321 N Wisconsin Ave, Peoria
Illinois, 61603-5613
309-680-7600
Susannah Nicholson Dintzis is a Peoria, Illinois based nurse practitioner who is specialized as Primary Care nurse. Active license number of Susannah Nicholson Dintzis is 209-002547 for Family in Illinois. Her current practice location is 2321 N Wisconsin Ave, Peoria. Patients can reach her at 309-680-7600 or can fax her at 309-681-4681. Susannah Nicholson Dintzis is FNP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1902848153.
Susannah Nicholson Dintzis is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Susannah Nicholson Dintzis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Susannah Nicholson Dintzis |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 2321 N Wisconsin Ave, Peoria,
Illinois, 61603-5613 |
| Phone: | 309-680-7600 |
| Fax: | 309-681-4681 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902848153 |
| NPI Enumeration Date: | 12 Jun, 2006 |
| NPI Last Update On: | 18 Feb, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susannah Nicholson Dintzis are as mentioned below.
| License Number | Specialization | State | Status | |
| 209-002547 | Family | Illinois | Primary | |
| 041283996 | Primary Care | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susannah Nicholson Dintzis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7215059 | Other | Illinois | BCBS PPO |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susannah Nicholson Dintzis
2214 N University St,
Peoria, Illinois |
| Zip: | 61604-3221 |
| Phone Number: | 309-680-7669 |
| Fax Number: | 309-681-8443 |
Patients can reach Susannah Nicholson Dintzis at
2321 N Wisconsin Ave, Peoria, Illinois or can
call to book an appointment on 309-680-7600.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.