Provider Demographics
NPI:1821513672
Name:SAVONA, AMANDA MARIE (FNP, RN-BC, CPHON)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MARIE
Last Name:SAVONA
Suffix:
Gender:F
Credentials:FNP, RN-BC, CPHON
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:MARIE
Other - Last Name:WORMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BC, CPHON
Mailing Address - Street 1:43 SOUTHEND SQ
Mailing Address - Street 2:
Mailing Address - City:WEST HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14586-9806
Mailing Address - Country:US
Mailing Address - Phone:585-813-4059
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE BOX 667
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-2100
Practice Address - Fax:585-276-1128
Is Sole Proprietor?:No
Enumeration Date:2017-08-12
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342073363LP0200X
NYF342073-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics