Deavours, Deborah R

Deavours, Deborah R is an individual health care provider with primary practice located at 1201 11Th Ave S , Birmingham AL 35205-3410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Deavours, Deborah R can be contacted via phone (205) 930-7246.

Contact Information

Primary practice address
1201 11Th Ave S Birmingham AL 35205-3410
Phone: (205) 930-7246
Fax: (205) 930-7256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-027383 Alabama

Profile Details

NPI number 1124014188
LBN Legal business name Deavours, Deborah R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124014188 NPPES
Alabama Other 1124014188 TRICARE STANDARD
Alabama Other 510-03661 TRICARE STANDARD
Alabama MEDICAID 051557592 TRICARE STANDARD
Alabama Other P00312332 TRICARE STANDARD

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