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Evan Blake Deboard
Pediatric Nurse Practitioner in Granite Falls, North Carolina
NPI 1528725546

Evan Blake Deboard is a Pediatric Nurse Practitioner based in Cary, NC and is specialized in Pediatrics. Evan Blake Deboard practices in Granite Falls, NC. The NPI Number for Evan Blake Deboard is 1528725546 and holds a License No. DEBO-F0JH8 (North Carolina).

The current practice location address for Evan Blake Deboard is 4355 Hickory Blvd Ste 2, Granite Falls, NC and can be reached out via phone at 828-757-5050.

Location: 4355 Hickory Blvd Ste 2, Granite Falls, NC, 27518-9634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528725546
Provider Name
Evan Blake Deboard
Credential
Provider Entity Type
Individual
Gender
Male
Address
4355 Hickory Blvd Ste 2, Granite Falls, NC, 27518-9634
Phone Number
828-757-5050
Fax Number
Provider Enumeration Date
11/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4355 Hickory Blvd Ste 2
City
Granite Falls
State
North Carolina
Zip
28630-2014
Phone Number
828-757-5050
Fax Number
person
Provider Business Mailing Address Details
Address
4355 Hickory Blvd Ste 2
City
Granite Falls
State
North Carolina
Zip
28630-2014
Phone Number
828-757-5050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
DEBO-F0JH8 (North Carolina)
Definition
Definition to come...
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