Provider Demographics
NPI:1689338576
Name:MCGUIRE, SAVANNAH E (NP)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:E
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 RIDGE FIELD TRL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6801
Mailing Address - Country:US
Mailing Address - Phone:559-789-1777
Mailing Address - Fax:
Practice Address - Street 1:2290 RIDGE FIELD TRL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-6801
Practice Address - Country:US
Practice Address - Phone:559-789-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV875644363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care