Provider Demographics
NPI:1851722979
Name:SMITHERMAN, CHERYL KAY (CNM)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:KAY
Last Name:SMITHERMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:KAY
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 ODESSA DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-4016
Mailing Address - Country:US
Mailing Address - Phone:817-239-6034
Mailing Address - Fax:
Practice Address - Street 1:1500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4917
Practice Address - Country:US
Practice Address - Phone:817-702-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-01
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658591367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife