Moon, Savannah Vaughn

Moon, Savannah Vaughn is an individual health care provider with primary practice located at 1210 7Th St S , Clanton AL 35045-3724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Moon, Savannah Vaughn can be contacted via phone (334) 514-3848.

Contact Information

Primary practice address
1210 7Th St S Clanton AL 35045-3724
Phone: (334) 514-3848
Fax: (334) 280-0625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-140246 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-140246 Alabama

Profile Details

NPI number 1336673946
LBN Legal business name Moon, Savannah Vaughn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2017
Last updated Apr 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336673946 NPPES
Other 511-91222 BCBS

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