Provider Demographics
NPI:1922582170
Name:MORGAN, SAVANNAH ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:ELIZABETH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 CARRINGTON LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3580
Mailing Address - Country:US
Mailing Address - Phone:330-277-7038
Mailing Address - Fax:
Practice Address - Street 1:400 W 41ST ST STE 310
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3524
Practice Address - Country:US
Practice Address - Phone:305-763-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-23
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60914410363L00000X
FLAPRN9488416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty