Individual
MS. DEBORAH R DEAVOURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3410
(205) 930-7246
(205) 930-7256
Mailing address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3410
(205) 930-7246
(205) 930-7256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-027383
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557592
—
AL
01
—
1124014188
TRICARE STANDARD
AL
01
—
510-03661
BC BS OF AL
AL
01
—
P00312332
RAILROAD MEDICARE
AL
Enumeration date
09/26/2005
Last updated
03/20/2014
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