NPI 1063133791 · live from the CMS NPI Registry
Savannah Bush, MSW
Social Worker, Clinical in Fairbanks, AK. National Provider Identifier 1063133791, active.
NPI record
| NPI | 1063133791 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1423 Peger Rd, Fairbanks, AK 99709 |
| Practice phone | 907-371-1300 |
| Mailing address | 4020 Folker St, Anchorage, AK 99508 |
| Enumerated | September 9, 2022 |
| Last updated | September 10, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.