Evan Blake Deboard
NPI #1528725546 in Granite Falls, North Carolina
Provider Information
- NPI Number
- 1528725546
- Entity Type
- Individual
- Name
- Evan Blake Deboard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Nov 24, 2021
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 4355 HICKORY BLVD STE 2
- City
- Granite Falls
- State
- North Carolina
- ZIP Code
- 28630-2014
- Phone
- (828) 757-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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