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Individual

NICOLE MAKRAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604
(469) 608-4980
Mailing address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1130824
TX
363L00000X
Nurse Practitioner
Primary
888570
TX

Other

Enumeration date
07/18/2023
Last updated
08/07/2023
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