Individual
MARCUS OTAVIO GUIMARAES DEBIASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1714 9TH AVE S STE 300, BIRMINGHAM, AL 35205-3606
(205) 934-3580
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-120823
AL
Other
Enumeration date
10/31/2016
Last updated
01/20/2017
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