Provider Demographics
NPI:1285007492
Name:MERRELL, SAVANNAH SWANNER (NP)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:SWANNER
Last Name:MERRELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 149
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0149
Mailing Address - Country:US
Mailing Address - Phone:828-339-9163
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:81 MEDICAL PARK LOOP
Practice Address - Street 2:STE 202
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5291
Practice Address - Country:US
Practice Address - Phone:828-586-7705
Practice Address - Fax:828-586-7714
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5008156363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner