Provider Demographics
NPI:1437618659
Name:MURRAY, SAVANNAH BLEU-CASE (CNP)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:BLEU-CASE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44608 J MEADIE KNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-3696
Mailing Address - Country:US
Mailing Address - Phone:985-289-2100
Mailing Address - Fax:985-289-2100
Practice Address - Street 1:44608 J MEADIE KNIGHT DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3696
Practice Address - Country:US
Practice Address - Phone:985-289-2100
Practice Address - Fax:985-289-2121
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA201618363LF0000X, 363LF0000X
MS903275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00400062Medicaid