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NPI Code Detail

MEDICARE: ELIZABETH EVANKO

MEDICARE: ELIZABETH EVANKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1538004882
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH EVANKO
Provider Business Mailing Address
First Line : 9604 SKYBLUFF CIR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-2412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 LEONARD AVE
Second Line :
City : NEWTON
State : NC
Zip : 28658-9649
Country : US
Telephone Number : 828-464-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ ELIZABETH EVANKO ” Practice Location

Language Start Address Practice Location
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