Individual provider · Type 1 NPI

Mary Jane Cumberland, APRN

Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT

NPI number 1396715504 Active

Practice location

1020 S Main St
Salt Lake City, UT 84101-3176

Call (801) 539-7000 Map

Fax (801) 539-7050

Mailing address

22 Q St
Salt Lake City, UT 84103-3950

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2177194405 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2177194405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396715504

Mary Jane Cumberland, APRN's National Provider Identifier is 1396715504, issued on Jan 23, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 26, 2012.