Healthcare Provider Details

I. General information

NPI: 1073420907
Provider Name (Legal Business Name): SHERRY S MERRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 DUFFIN CIRCLE
THAYNE WY
83127
US

IV. Provider business mailing address

285 DUFFIN CIRCLE PO BOX 651
THAYNE WY
83127-0651
US

V. Phone/Fax

Practice location:
  • Phone: 307-884-8136
  • Fax: 307-883-2604
Mailing address:
  • Phone: 307-884-8136
  • Fax: 307-883-2604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: