Provider Demographics
NPI:1215822218
Name:NEU, SAVANNAH LEIGH
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:LEIGH
Last Name:NEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20789 W MINNEZONA AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-6538
Mailing Address - Country:US
Mailing Address - Phone:623-910-8304
Mailing Address - Fax:
Practice Address - Street 1:20789 W MINNEZONA AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-6538
Practice Address - Country:US
Practice Address - Phone:623-910-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant