Individual
DEANNA STAIRES LANGHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-114109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051118092
BCBS
AL
01
—
051118093
BCBS
AL
01
—
051118094
BCBS
AL
01
—
051118095
BCBS
AL
01
—
051118096
BCBS
AL
01
—
051118097
BCBS
AL
05
—
05777014
—
MS
05
—
129449
—
AL
05
—
129450
—
AL
05
—
129451
—
AL
05
—
129452
—
AL
05
—
129453
—
AL
05
—
129454
—
AL
01
—
Z21076
VIVA
AL
Enumeration date
05/27/2011
Last updated
05/16/2019
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