Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN MATHEWS, RD
Active Sole ProprietorPediatric Nutrition · WYOMING, OH
Registration Details
- NPI Number
- 1376781617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2009 (17.256569298807 yrs)
- Last Updated
- Jan 24, 2009
- License
-
6075 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1430 MAPLE AVEWYOMING, OH, 452152116Browse OH providers · Browse ZIP 45215
- Phone
- 5132183815
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.