Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WUANIKA BROOMFIELD MATLOCK
Active Sole ProprietorWUANIKA BROOMFIELD MATLOCK is a Specialist healthcare provider located in COLUMBUS, Ohio. NPI 1174939375 is currently active in the NPPES registry. Verify at CMS.
Specialist · COLUMBUS, OH
Registration Details
- NPI Number
- 1174939375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2014 (12.14310054689 yrs)
- Last Updated
- Jul 8, 2014
- License
-
401152351010 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3212 FAIRWOOD AVECOLUMBUS, OH, 432073252Browse OH providers · Browse ZIP 43207
- Phone
- 6143297998
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN JOHN DEVOE | MD | 1407850183 |
| THOMAS J BOES | M.D. | 1417953332 |
| MRS. STACY L WORRELL | RNFA | 1659378727 |
| DR. LAWRENCE A LYNN | DO | 1861486276 |
| DR. JOHN S. KIM | MD | 1073507380 |
| MICHAEL J SULLIVAN | — | 1437145646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.