Healthcare Provider Details
I. General information
NPI: 1861528614
Provider Name (Legal Business Name): DEBORAH EVERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 03/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2345 MURRAY AVE SUITE 200
PITTSBURGH PA
15217-2352
US
IV. Provider business mailing address
2345 MURRAY AVE SUITE 200
PITTSBURGH PA
15217-2352
US
V. Phone/Fax
- Phone: 412-421-6770
- Fax: 412-421-6596
- Phone: 412-421-6770
- Fax: 412-421-6596
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN208483 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | RN208483L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: