Provider Demographics
NPI:1831930197
Name:WHITAKER, SAVANNA RENE (CNA)
Entity type:Individual
Prefix:MS
First Name:SAVANNA
Middle Name:RENE
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 SW HIGH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2633
Mailing Address - Country:US
Mailing Address - Phone:785-845-9328
Mailing Address - Fax:
Practice Address - Street 1:1607 SW HIGH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2633
Practice Address - Country:US
Practice Address - Phone:785-845-9328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS272359376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide