# ETHER BUNNY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306843305
- **Authorized official:** MRS. DEBRA LEE DESVERREAUX (BILLING CONTACT)
- **Authorized official phone:** (251) 965-5393

## Contact information

- **Practice address:** 1613 N MCKENZIE ST, FOLEY, AL 36535-2247
- **Practice address phone:** (251) 965-5393
- **Practice address fax:** (251) 971-1029
- **Mailing address:** PO BOX 969, MAGNOLIA SPRINGS, AL 36555-0969
- **Mailing address phone:** (251) 965-5393
- **Mailing address fax:** (251) 971-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 04/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529907430 | — | AL |