location
search-icon
person
Decoya Blue
Pediatric Nurse Practitioner in Shallotte, North Carolina
NPI 1770365397

Decoya Blue is a Pediatric Nurse Practitioner based in Shallotte, NC and is specialized in Pediatrics. Decoya Blue practices in Shallotte, NC. The NPI Number for Decoya Blue is 1770365397 and holds a License No. 5019014 (North Carolina).

The current practice location address for Decoya Blue is 3650 Express Dr, Shallotte, NC and can be reached out via phone at 910-754-2229.

Location: 3650 Express Dr, Shallotte, NC, 28459-2183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770365397
Provider Name
Decoya Blue
Credential
Provider Entity Type
Individual
Gender
Female
Address
3650 Express Dr, Shallotte, NC, 28459-2183
Phone Number
910-754-2229
Fax Number
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3650 Express Dr
City
Shallotte
State
North Carolina
Zip
28470-6501
Phone Number
910-754-2229
Fax Number
person
Provider Business Mailing Address Details
Address
3650 Express Dr
City
Shallotte
State
North Carolina
Zip
28470-6501
Phone Number
910-754-2229
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5019014 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.