Provider Demographics
NPI:1497354294
Name:SAVERCOOL, MARIANNA C
Entity type:Individual
Prefix:
First Name:MARIANNA
Middle Name:C
Last Name:SAVERCOOL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARIANNA
Other - Middle Name:C
Other - Last Name:CARUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3820 N FIREWEED FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99623-8908
Mailing Address - Country:US
Mailing Address - Phone:907-414-8642
Mailing Address - Fax:
Practice Address - Street 1:3820 N FIREWEED FIELDS DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-8908
Practice Address - Country:US
Practice Address - Phone:907-414-8642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKUNKNOWN171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator