Individual
DEBORAH CORINNE TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64795, BALTIMORE, MD 21264-4795
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R061003
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R061003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68639503
BCBS MD
MD
01
—
F2320009
BCBS DC NCA
MH
Enumeration date
04/27/2006
Last updated
06/03/2008
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