Healthcare Provider Details

I. General information

NPI: 1174451793
Provider Name (Legal Business Name): BRITTNEY MAXEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4204 HARWOOD RD
SOUTH EUCLID OH
44121-2741
US

IV. Provider business mailing address

4204 HARWOOD RD
SOUTH EUCLID OH
44121-2741
US

V. Phone/Fax

Practice location:
  • Phone: 216-848-9431
  • Fax:
Mailing address:
  • Phone: 216-848-9431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0039948
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: