Susan Lynne White, LPN
Individual provider Active NPI Licensed Practical Nurse · Rison, AR
NPI 1609010636 · NPPES record last updated Apr 21, 2009
Key facts
- NPI
- 1609010636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L34492 (AR)
- Practice address
- 302 Center Street
Rison, AR 71665 - Phone
- (870) 370-2303
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L34492 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L34492 | AR | Yes |
Addresses
Primary practice location
302 Center Street
Rison, AR 71665
Mailing address
302 Center St
Rison, AR 71665-9530
Phone (870) 370-2303
Other providers in Rison, AR
- Lauren Threlkeld
- Amy Elissa Vetter
- Warmack Pharmacies,Inc.
- Warmack Pharmacies,Inc.
- Anthony James White
- Colton Williams
- Woodlawn School District
All providers in Rison, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.