Provider Demographics
NPI:1083408249
Name:MALEC, BRITTNY MARIE (CLD)
Entity type:Individual
Prefix:
First Name:BRITTNY
Middle Name:MARIE
Last Name:MALEC
Suffix:
Gender:
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 MAPLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:GRAND MARAIS
Mailing Address - State:MN
Mailing Address - Zip Code:55604-2099
Mailing Address - Country:US
Mailing Address - Phone:262-402-7207
Mailing Address - Fax:
Practice Address - Street 1:63 MAPLE HILL DR
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-2099
Practice Address - Country:US
Practice Address - Phone:262-402-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula