OrganizationActive
Sisterhood Sanctuary LLC
NPI 1790649168 · Obstetrics & Gynecology Nurse Practitioner · Sheridan, WY
Provider details
- NPI number
- 1790649168
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ashton Mccomb, Ma(307) 752-5078
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1842 Sugarland Dr Ste 101
Sheridan, WY 82801-5719
Phone: (307) 763-8701
Fax: (307) 224-2239
Approximate (ZIP-level) locationGet directions
Mailing address
48 Landon Ln
Sheridan, WY 82801-9014
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.