Individual
MAKALA NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
106 HYANNIS DR, HOLLY SPRINGS, NC 27540-8327
(919) 249-4700
Mailing address
3727 SW DURHAM DR APT 207, DURHAM, NC 27707-3781
(336) 694-3155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
327353
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
202631129
NC
Other
Enumeration date
08/25/2025
Last updated
06/04/2026
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