Healthcare Provider Details

I. General information

NPI: 1487362240
Provider Name (Legal Business Name): SAVANNAH FRANCIS CHADWELL AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2022
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 S SAULSBURY ST APT 1B
LAKEWOOD CO
80226-3482
US

IV. Provider business mailing address

434 S SAULSBURY ST APT 1B
LAKEWOOD CO
80226-3482
US

V. Phone/Fax

Practice location:
  • Phone: 205-901-2066
  • Fax:
Mailing address:
  • Phone: 205-901-2066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-183797
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1000637
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: