Individual
MRS. MAKENNA MARIE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4700 ALLIANCE BLVD STE 400, PLANO, TX 75093-5323
(469) 814-6631
(469) 814-3110
Mailing address
401 BOYD DR APT 3306, GRAPEVINE, TX 76051-6341
(817) 343-7172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
964526
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
964526
TX
Other
Enumeration date
11/14/2024
Last updated
03/19/2025
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