Provider Demographics
NPI:1851954234
Name:HAYES, SAVANNAH SAVITT (WHNP)
Entity type:Individual
Prefix:MS
First Name:SAVANNAH
Middle Name:SAVITT
Last Name:HAYES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:LEIGH
Other - Last Name:SAVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10050 KENNERLY RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2198
Mailing Address - Country:US
Mailing Address - Phone:314-525-1545
Mailing Address - Fax:
Practice Address - Street 1:10050 KENNERLY RD STE 1500
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2198
Practice Address - Country:US
Practice Address - Phone:314-525-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-21
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020022387363LW0102X
GARN232897163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420129522Medicaid