Individual
CHELSEA DAWN MALINOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CARNEGIE PL STE 103, FAYETTEVILLE, GA 30214-5900
(770) 716-7999
(770) 716-8444
Mailing address
37 BRIDLEWOOD RD, SOUTH WINDSOR, CT 06074-2513
(860) 424-6115
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
12.007207
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12.007207
—
CT
Enumeration date
09/01/2017
Last updated
05/10/2024
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