Healthcare Provider Details

I. General information

NPI: 1922922418
Provider Name (Legal Business Name): SAVANNA RANGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 N ZANJERO BLVD APT 1-2128
GLENDALE AZ
85305-1131
US

IV. Provider business mailing address

7375 N ZANJERO BLVD APT 1-2128
GLENDALE AZ
85305-1131
US

V. Phone/Fax

Practice location:
  • Phone: 602-499-8224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number297636
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: