Doctor Name: | CHERYL D WORMINGTON |
NPI Number: | 1255477352 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN RN BC, FNP |
License Number: | 095709 |
Business Practice Address: | 6185 Jefferson Ave Parkville, MO - 641523488 |
Business Phone Number: | 8165691506 |
Business Fax Number: | 8165691504 |
Mailing Address: | 4330 Wornall Rd Suite 2000, Suite 2000 KANSAS CITY |
State: | MO |
Postal Code: | 641115939 |
Phone Number: | 8165028771 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 12/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 095709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |