MEDICARE: MS. SUE A PILLER ANP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	APN0000013182	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00615691	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083882591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUE A PILLER ANP-BC

Provider Business Mailing Address
First Line	:	8974 CLAIR DOUWIE CV
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-0943
Country	:	US
Telephone Number	:	901-830-8439
Fax Number	:	901-640-0400

Provider Business Practice Location Address
First Line	:	8974 CLAIR DOUWIE CV
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-0943
Country	:	US
Telephone Number	:	901-830-8439
Fax Number	:	901-640-0400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	05/19/2026

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