Provider Demographics
NPI:1932966231
Name:CLEVELAND, ELENI MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:MARIE
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ELENI
Other - Middle Name:MARIE
Other - Last Name:MARVRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1800 HOWELL MILL RD NW STE 450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2508
Mailing Address - Country:US
Mailing Address - Phone:043-551-3934
Mailing Address - Fax:
Practice Address - Street 1:1800 HOWELL MILL RD NW STE 450
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2508
Practice Address - Country:US
Practice Address - Phone:404-355-4393
Practice Address - Fax:404-609-7655
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN283412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily