Healthcare Provider Details

I. General information

NPI: 1427980580
Provider Name (Legal Business Name): SAVANNAH STRENN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 SWORD DANCER DR
VIRGINIA BEACH VA
23454-6856
US

IV. Provider business mailing address

1625 SWORD DANCER DR
VIRGINIA BEACH VA
23454-6856
US

V. Phone/Fax

Practice location:
  • Phone: 757-679-6339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0001316868
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: