Healthcare Provider Details

I. General information

NPI: 1831007608
Provider Name (Legal Business Name): SAVANNAH MONTES DE OCA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

5358 S FARMER AVE
TEMPE AZ
85283-1750
US

V. Phone/Fax

Practice location:
  • Phone: 608-397-7748
  • Fax:
Mailing address:
  • Phone: 608-397-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: