Provider Demographics
NPI:1831421221
Name:READING-MARTIN, SUSAN MARIE (MS, RN, ARNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MARIE
Last Name:READING-MARTIN
Suffix:
Gender:F
Credentials:MS, RN, ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:150455 KIHLTHAU RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:NE
Mailing Address - Zip Code:69357-1757
Mailing Address - Country:US
Mailing Address - Phone:308-225-1037
Mailing Address - Fax:
Practice Address - Street 1:7076 ROAD 55F
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-7771
Practice Address - Country:US
Practice Address - Phone:307-532-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY27795.1037363LF0000X
NE110024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily