Individual
SUSAN R WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN,BC
Contact information
Practice address
871 HWY 150 SOURTH, EVANSTON, WY 82930
(307) 789-3464
Mailing address
252 S VALLEY DR APT 33, EVANSTON, WY 82930-4892
(585) 329-7258
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
471975
NY
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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