MEDICARE: MS. DEBORAH R DEAVOURS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	1-027383	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00312332	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124014188	OTHER	AL	TRICARE STANDARD
2	510-03661	OTHER	AL	BC BS OF AL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124014188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH R DEAVOURS CRNA

Provider Business Mailing Address
First Line	:	1201 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3410
Country	:	US
Telephone Number	:	205-930-7246
Fax Number	:	205-930-7256

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3410
Country	:	US
Telephone Number	:	205-930-7246
Fax Number	:	205-930-7256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	03/20/2014

Similar Medicare Providers

1164386744 — JASIM AHMED
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-934-3411
Practice Fax:

1235114976 — DAVID M SPALDING MD
Practice Location Address:

1201 11TH AVE S , SUITE 510
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-930-8347
Practice Fax: 205-930-8340

1760432983 — CARRAWAY INTERNAL MEDICINE ASSOCIATES PC
Practice Location Address:

1201 11TH AVE S , SUITE 305
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-939-4939
Practice Fax: 205-939-4938

1972538643 — JAMES MCMINN MD
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-930-7050
Practice Fax: 205-930-8280

1114951381 — FIRST LINE CARE, P.C.
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-930-7050
Practice Fax:

1093733628 — ADAM ROBERTSON M.D.
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3410

Practice Phone: 205-930-7050
Practice Fax: 205-930-8280

Directions to “ MS. DEBORAH R DEAVOURS CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.