Provider Demographics
NPI:1790959898
Name:WORFORD, CHERIE LYNN (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:LYNN
Last Name:WORFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CHERIE
Other - Middle Name:LYNN
Other - Last Name:SMELTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1006 LUKE STREET
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-6157
Mailing Address - Country:US
Mailing Address - Phone:970-419-1111
Mailing Address - Fax:970-407-0001
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:ATTN ACADEMIC AFFAIRS
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4409
Practice Address - Country:US
Practice Address - Phone:602-406-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ81078207V00000X
CO48564207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ81078OtherTRAINING PERMIT