Healthcare Provider Details

I. General information

NPI: 1992484893
Provider Name (Legal Business Name): SAVANNAH SKYE POWELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11390 E VIA LINDA STE 103
SCOTTSDALE AZ
85259-4075
US

IV. Provider business mailing address

9045 E RIMROCK DR
SCOTTSDALE AZ
85255-9133
US

V. Phone/Fax

Practice location:
  • Phone: 480-219-0055
  • Fax: 480-219-0330
Mailing address:
  • Phone: 801-668-4792
  • Fax: 480-219-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number262229
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number262229
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: