Provider Demographics
NPI:1679824882
Name:WOFFORD, CHERYL YVETTE (MSN,APRN)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:YVETTE
Last Name:WOFFORD
Suffix:
Gender:F
Credentials:MSN,APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 BRECKENRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-3213
Mailing Address - Country:US
Mailing Address - Phone:502-495-6454
Mailing Address - Fax:502-495-6454
Practice Address - Street 1:3307 BRECKENRIDGE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-3213
Practice Address - Country:US
Practice Address - Phone:502-495-6454
Practice Address - Fax:502-495-6454
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3001519363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health