IndividualActive
Brittany Blackwelder, HIS
NPI 1174194096 · Hearing Instrument Specialist · Maple Grove, MN
Provider details
- NPI number
- 1174194096
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- HIS
- Sex
- Female
- Sole proprietor
- No
- License
- 2887 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
16354 County Road 30
Maple Grove, MN 55311-1207
Phone: (763) 315-6571
Fax: (763) 315-6687
Approximate (ZIP-level) locationGet directions
Mailing address
16354 County Road 30
Maple Grove, MN 55311-1207
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2021-07-08
- Certified
- 2021-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.