Provider Demographics
NPI:1962296111
Name:WHITE, SAVA
Entity type:Individual
Prefix:
First Name:SAVA
Middle Name:
Last Name:WHITE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 SMOKY BAY WAY # 262
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-7653
Mailing Address - Country:US
Mailing Address - Phone:907-299-1286
Mailing Address - Fax:
Practice Address - Street 1:37870 MORSE CT
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-0159
Practice Address - Country:US
Practice Address - Phone:907-299-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach