Healthcare Provider Details

I. General information

NPI: 1114865391
Provider Name (Legal Business Name): BRETT MALIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E 144TH AVE STE 200
THORNTON CO
80023-9210
US

IV. Provider business mailing address

13495 MAGNOLIA CT
THORNTON CO
80602-7057
US

V. Phone/Fax

Practice location:
  • Phone: 720-893-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN.1674369
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: