Individual
SAVANNA JOY DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
504 MCCURDY AVE S, RAINSVILLE, AL 35986-5254
(256) 638-9161
Mailing address
7867 HIGHWAY 137, VALLEY HEAD, AL 35989-4033
(256) 516-0779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1146468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146468
ALABAMA BOARD OF NURSING
AL
Enumeration date
05/12/2021
Last updated
05/12/2021
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