Provider Demographics
NPI:1962131359
Name:BREETZ, ELIANNA BRITTANY (MS)
Entity type:Individual
Prefix:
First Name:ELIANNA
Middle Name:BRITTANY
Last Name:BREETZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ELIANNA
Other - Middle Name:BRITTANY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-1617
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE STE 1500
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-1617
Practice Address - Fax:216-844-7497
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000714TEMP170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS