IndividualActive
Diana Tavener, P.A.
NPI 1497900393 · Surgical Physician Assistant · Birmingham, AL
Provider details
- NPI number
- 1497900393
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- PA-152 (AL)
Practice location
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone: (205) 939-3699
Fax: (205) 939-0989
Mailing address
4600 Highway 280, Ste 200
Birmingham, AL 35242
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2015-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.