Healthcare Provider Details

I. General information

NPI: 1447176417
Provider Name (Legal Business Name): BRITTIANY ELLA MAE CLEVELAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 WARWICK DR
MONTGOMERY AL
36116-2760
US

IV. Provider business mailing address

617 WARWICK DR
MONTGOMERY AL
36116-2760
US

V. Phone/Fax

Practice location:
  • Phone: 334-235-3118
  • Fax:
Mailing address:
  • Phone: 334-235-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1-183960
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: