DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVAN BLAKE DEBOARD

Active

EVAN BLAKE DEBOARD is a Pediatric Nurse Practitioner healthcare provider located in GRANITE FALLS, North Carolina. NPI 1528725546 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · GRANITE FALLS, NC

Registration Details

NPI Number
1528725546
Provider Type
Individual
Gender
Male
NPI Issued
Nov 24, 2021 (4.6916583699491 yrs)
Last Updated
Mar 23, 2022
License
DEBO-F0JH8 (NC)

Practice Information

Address
4355 HICKORY BLVD STE 2
GRANITE FALLS, NC, 286302014
Browse NC providers · Browse ZIP 28630
Phone
8287575050
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in GRANITE FALLS, NC

Name Credential NPI
MS. ELIZABETH CALDWELL 1629445697
HOLLY PRUETT DUNCAN CPNP 1467813311
JESSICA OXIDINE PNP 1134774235
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.