Provider Demographics
NPI:1821255605
Name:CUMBIE, SHARON ANN (PHD, RN, CS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:CUMBIE
Suffix:
Gender:F
Credentials:PHD, RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1304
Mailing Address - Street 2:1277 N 15TH ST
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82073-1304
Mailing Address - Country:US
Mailing Address - Phone:307-742-6222
Mailing Address - Fax:307-742-9905
Practice Address - Street 1:1277 N 15TH ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2343
Practice Address - Country:US
Practice Address - Phone:307-742-6222
Practice Address - Fax:307-742-9905
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY17968163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health