MEDICARE: SAVANNAH VORHIS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9353781	FL
2	261QR1300X	Rural Health Clinic/Center	APRN1497126544	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497126544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH VORHIS ARNP

Provider Business Mailing Address
First Line	:	21 W MAIN AVE
Second Line	:
City	:	DEFUNIAK SPGS
State	:	FL
Zip	:	32435-2529
Country	:	US
Telephone Number	:	850-892-2888
Fax Number	:	850-892-2405

Provider Business Practice Location Address
First Line	:	21 W MAIN AVE
Second Line	:
City	:	DEFUNIAK SPGS
State	:	FL
Zip	:	32435-2529
Country	:	US
Telephone Number	:	850-892-2888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	06/01/2026

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