Provider Demographics
NPI:1790926962
Name:SAVILL, CHARLOTTE (RN MSN PMHNP-C)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:SAVILL
Suffix:
Gender:F
Credentials:RN MSN PMHNP-C
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:SAVILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:4134 ALEXANDRIA PIKE STE 111
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-1820
Mailing Address - Country:US
Mailing Address - Phone:513-304-0307
Mailing Address - Fax:859-441-3432
Practice Address - Street 1:4134 ALEXANDRIA PIKE STE 111
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-1820
Practice Address - Country:US
Practice Address - Phone:513-304-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH451090163W00000X
KY4036432363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty