MS. MARY JANE CUMBERLAND APRN NPI 1396715504

NPI Information

NPI: 1396715504
Provider Name: MS. MARY JANE CUMBERLAND, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1020 S MAIN ST
SALT LAKE CITY, UT
ZIP 84101
Phone: (801) 539-7000
Get Directions

MS. Mary Jane Cumberland, APRN is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. MS. Mary Jane Cumberland, APRN NPI is 1396715504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1020 S MAIN ST
SALT LAKE CITY, UT
ZIP 84101-176
Phone: (801) 539-7000
Fax: (801) 539-7050

The enumeration date for this NPI number is 1/23/2006 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2177194405	UTAH	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2177194405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q39422	MEDICARE UPIN	UTAH
2	Q39422	OTHER	UTAH	ICAR
3	94293834884101A008	OTHER	UTAH	U009
4	003104021	OTHER	UTAH	RCAR
5	857364	OTHER	UTAH	U002--DESERET MUTUAL
6	107029319101	OTHER	UTAH	U006
7	003104021	MEDICARE ID-TYPE UNSPECIFIED	UTAH
8	942938348MJC	OTHER	UTAH	U003

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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