Willa Liddell
Licensed Practical Nurse • Benton Harbor, 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, Willa Liddell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Willa Liddell was a registered Licensed Practical Nurse practicing in Benton Harbor, MI. Throughout an active medical career spanning 4 years, Willa Liddell provided care at the practice location at 122 W MAY ST until profile deactivation on 2020-01-21.
Practice Location & Contact Primary Location
122 W May St
Benton Harbor, MI 490225412
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Benton Harbor, MI
Practicing in Benton Harbor, 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
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Record deactivated on January 21, 2020
NPI status registered as active in NPPES database
Registered at 122 W MAY ST, BENTON HARBOR, MI 490225412 (Tel: 2698761955)
Registered at 122 W MAY ST, BENTON HARBOR, MI 490225412 (Tel: 2698761955)
Recorded as WILLA LIDDELL
Licensed Practical Nurse (License #4703102769 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
122 W May St
Benton Harbor, MI 490225412
Phone: 2698761955
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