Provider Demographics
NPI:1538936034
Name:SAVANAPRIDI, SCOTT (RN, BSN)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SAVANAPRIDI
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 MARBANK ST
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7923
Mailing Address - Country:US
Mailing Address - Phone:919-818-6695
Mailing Address - Fax:
Practice Address - Street 1:1208 MARBANK ST
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7923
Practice Address - Country:US
Practice Address - Phone:919-818-6695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC233901163WW0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care