Basic Information
| Provider Information | |||||||||
| NPI: | 1821255605 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CUMBIE | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD, RN, CS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1304 | ||||||||
| Address2: | 1277 N 15TH ST | ||||||||
| City: | LARAMIE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820731304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077426222 | ||||||||
| FaxNumber: | 3077429905 | ||||||||
| Practice Location | |||||||||
| Address1: | 1277 N 15TH ST | ||||||||
| Address2: | |||||||||
| City: | LARAMIE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820722343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077426222 | ||||||||
| FaxNumber: | 3077429905 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2008 | ||||||||
| LastUpdateDate: | 05/20/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 17968 | WY | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.