Evelinn Suarez Blanks
Nurse Practitioner - Women's Health
83 Upper Riverdale Rd Sw Bldg 2
Riverdale
, Georgia 30274-2636
Evelinn Suarez Blanks
Nurse Practitioner - Women's Health
83 Upper Riverdale Rd Sw Bldg 2
Riverdale
, Georgia 30274-2636
(770) 519-0077
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Evelinn Suarez Blanks
- 153 Crown Oaks Dr
- Stockbridge, GA
- Zip : 30281-7111
- Phone : (770) 519-0077
Second Address
- Evelinn Suarez Blanks
- 83 Upper Riverdale Rd Sw Bldg 2
- Riverdale, GA
- Zip : 30274-2636
- Phone : (770) 991-0778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | RN118524 | GA |
National Provider Identifier
| NPI | 1023008521 |
|---|---|
| Provider Name | Evelinn Suarez Blanks |
| First Address | Stockbridge, GA 30281-7111 |
| Second Address | Riverdale, GA 30274-2636 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 20/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.