Individual
RAE ANNE NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26325 WILMOT RD, TREVOR, WI 53179-9701
(262) 862-2356
Mailing address
1218 WILMOT AVE, TWIN LAKES, WI 53181-9419
(262) 877-2148
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
156541-30
WI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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