Provider Demographics
NPI:1154890705
Name:HARLAND, SAVANNA H (CRNP)
Entity type:Individual
Prefix:
First Name:SAVANNA
Middle Name:H
Last Name:HARLAND
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SAVANNA
Other - Middle Name:RAE
Other - Last Name:HENNINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-6361
Mailing Address - Country:US
Mailing Address - Phone:205-718-6798
Mailing Address - Fax:
Practice Address - Street 1:1700 6TH AVENUE SOUTH
Practice Address - Street 2:SUITE 9103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249
Practice Address - Country:US
Practice Address - Phone:205-934-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-154175363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health