Healthcare Provider Details

I. General information

NPI: 1497126544
Provider Name (Legal Business Name): SAVANNAH VORHIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W MAIN AVE
DEFUNIAK SPGS FL
32435-2529
US

IV. Provider business mailing address

21 W MAIN AVE
DEFUNIAK SPGS FL
32435-2529
US

V. Phone/Fax

Practice location:
  • Phone: 850-892-2888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9353781
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: