| Doctor Name: | EVELINN SUAREZ BLANKS |
| NPI Number: | 1023008521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | RN118524 |
| Business Practice Address: | 83 Upper Riverdale Rd Sw Bldg 2 Riverdale, GA - 302742636 |
| Business Phone Number: | 7709910778 |
| Business Fax Number: | |
| Mailing Address: | 153 Crown Oaks Dr, STOCKBRIDGE |
| State: | GA |
| Postal Code: | 302817111 |
| Phone Number: | 7705190077 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN118524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |