SAVANNAH ADDISON PRUDEN

RALEIGH, NC
NPI1629845581
Former NameSAVANNAH ADDISON DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NC  5023076)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: NC  5023076)
Enumeration Date2023-12-11
Last Update Date2025-11-13
Business Address
SAVANNAH ADDISON PRUDEN AGNP
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-7110
Mailing Address
SAVANNAH ADDISON PRUDEN AGNP
7416 CAPULIN CREST DR
APEX, NC 27539-4116
Phone number: 336-202-4876