Susan Marie List , LPN
Licensed Practical Nurse • Beaverton, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan List has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Susan List, LPN was a registered Licensed Practical Nurse practicing in Beaverton, MI. Throughout an active medical career spanning 2 years, Susan List provided care at the practice location at 129 RIVERSIDE DR until profile deactivation on 2021-08-25.
Practice Location & Contact Primary Location
129 Riverside Dr
Beaverton, MI 486129468
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Beaverton, MI
Practicing in Beaverton, MI (4550 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 25, 2021
NPI status registered as active in NPPES database
Registered at 129 RIVERSIDE DR, BEAVERTON, MI 486129468 (Tel: 9899093245)
Registered at 129 RIVERSIDE DR, BEAVERTON, MI 486129468 (Tel: 9899093245)
Recorded as SUSAN LIST, LPN
Licensed Practical Nurse (License #4703098724 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
129 Riverside Dr
Beaverton, MI 486129468
Phone: 9899093245
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