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Individual
SAVANNAH ADDISON PRUDEN
Active
Individual
SAVANNAH ADDISON PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5023076
NC
363LG0600X
Gerontology Nurse Practitioner
5023076
NC
Other
Enumeration date
12/11/2023
Last updated
11/13/2025
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