Individual
SUSAN RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
4810 STATE HIGHWAY 158, TORRINGTON, WY 82240-5080
(307) 575-8632
Mailing address
4810 STATE HIGHWAY 158, TORRINGTON, WY 82240-5080
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
NUR-RN-LIC-21997
MT
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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