Individual
ELAINA BREE MALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
329 MAINE ST STE A200, BRUNSWICK, ME 04011-3310
(207) 373-4700
Mailing address
329 MAINE ST STE A200, BRUNSWICK, ME 04011-3310
(207) 373-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN70640
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP251374
ME
Other
Enumeration date
04/22/2025
Last updated
10/13/2025
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