# MS. MARY JANE CUMBERLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396715504
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2177194405 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2177194405 | UT | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 01/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003104021 | RCAR | UT |
| 01 | — | 107029319101 | U006 | UT |
| 01 | — | 857364 | U002--DESERET MUTUAL | UT |
| 01 | — | 94293834884101A008 | U009 | UT |
| 01 | — | 942938348MJC | U003 | UT |
| 01 | — | Q39422 | ICAR | UT |