Individual
SAVANNAH ADDISON PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7110
Mailing address
7416 CAPULIN CREST DR, APEX, NC 27539-4116
(336) 202-4876
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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