Healthcare Provider Details

I. General information

NPI: 1184544330
Provider Name (Legal Business Name): BRITTANY SCIALABBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 E CHICAGO ST
COLDWATER MI
49036-2041
US

IV. Provider business mailing address

307 1/2 N NOTTAWA ST
STURGIS MI
49091-1434
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number4704405548
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: