Provider Demographics
NPI:1134510233
Name:COLLIER, SAVANNAH MARIE (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:SAVANNAH
Middle Name:MARIE
Last Name:COLLIER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6172 WHITEBARK DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3551
Mailing Address - Country:US
Mailing Address - Phone:251-786-0454
Mailing Address - Fax:
Practice Address - Street 1:3280 DAUPHIN ST BLDG B
Practice Address - Street 2:SUITE 118
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4060
Practice Address - Country:US
Practice Address - Phone:251-545-4579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-125077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily