Organization
SISTERHOOD SANCTUARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON MCCOMB (MA)
(307) 752-5078
Entity
Organization
Contact information
Practice address
1842 SUGARLAND DR STE 101, SHERIDAN, WY 82801-5719
(307) 763-8701
(307) 224-2239
Mailing address
48 LANDON LN, SHERIDAN, WY 82801-9014
(307) 752-5078
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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