Healthcare Provider Details

I. General information

NPI: 1548251606
Provider Name (Legal Business Name): MS. ROSEMARY THERESE SHIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1898 FORT RD
SHERIDAN WY
82801-8320
US

IV. Provider business mailing address

13 KELLY DRIVE
SHERIDAN WY
82801
US

V. Phone/Fax

Practice location:
  • Phone: 307-672-3473
  • Fax: 307-672-1911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 487
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number12328.719
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: