Healthcare Provider Details

I. General information

NPI: 1003010497
Provider Name (Legal Business Name): SUSAN MARIE WRIGHT R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUSAN MARIE BAUGHMAN R.N.

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 E 2ND ST
CASPER WY
82601-2926
US

IV. Provider business mailing address

PO BOX 1441
SOCORRO NM
87801-1441
US

V. Phone/Fax

Practice location:
  • Phone: 307-577-7201
  • Fax:
Mailing address:
  • Phone: 505-418-8914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number24823
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR43552
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: