Healthcare Provider Details

I. General information

NPI: 1497294128
Provider Name (Legal Business Name): BRITTANY A. MALACHOWSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY BOLTON

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 PROVIDENCE ST
WEST WARWICK RI
02893-2508
US

IV. Provider business mailing address

22 WICKHAM RD
NORTH KINGSTOWN RI
02852-3504
US

V. Phone/Fax

Practice location:
  • Phone: 401-615-2800
  • Fax:
Mailing address:
  • Phone: 401-527-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN01554
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN50487
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: