MEDICARE: SAVANNAH SIERRA TYAGI RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9698652	FL

General Provider Information

NPI Number	:	1285586990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH SIERRA TYAGI RN

Provider Business Mailing Address
First Line	:	5367 SE CABLE DRIVE
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997
Country	:	US
Telephone Number	:	502-544-2603
Fax Number	:

Provider Business Practice Location Address
First Line	:	1881 SE TIFFANY AVE STE 306
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7567
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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