Healthcare Provider Details

I. General information

NPI: 1689588121
Provider Name (Legal Business Name): SAVANNAH MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 S CURAE LN
SIOUX FALLS SD
57108-6090
US

IV. Provider business mailing address

6140 S CURAE LN
SIOUX FALLS SD
57108-6090
US

V. Phone/Fax

Practice location:
  • Phone: 605-504-2222
  • Fax: 605-504-2223
Mailing address:
  • Phone: 605-504-2222
  • Fax: 605-504-2223

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 StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: