Healthcare Provider Details

I. General information

NPI: 1528580172
Provider Name (Legal Business Name): ABIGAIL MALMAN IBCLC, DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FEDERAL BLVD
DENVER CO
80211-3741
US

IV. Provider business mailing address

6280 E FLORIDA AVE
DENVER CO
80224-1911
US

V. Phone/Fax

Practice location:
  • Phone: 720-499-2986
  • Fax:
Mailing address:
  • Phone: 720-499-2986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBCID-10406
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-109483
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: