Healthcare Provider Details

I. General information

NPI: 1952911182
Provider Name (Legal Business Name): SAVANNA GIOTAS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAVANNA WILSON

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 NEPONSET ST
WORCESTER MA
01606-2714
US

IV. Provider business mailing address

5 NEPONSET ST
WORCESTER MA
01606-2714
US

V. Phone/Fax

Practice location:
  • Phone: 774-778-5234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2343687
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number08282321
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2343687
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: