MEDICARE: SAVANNAH PETERS CNP

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0041098	OH

General Provider Information

NPI Number	:	1518823954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH PETERS CNP

Provider Business Mailing Address
First Line	:	1405 ELIZABETH LN
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1978
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 ORANGE PL
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4478
Country	:	US
Telephone Number	:	216-896-1700
Fax Number	:

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

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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