Healthcare Provider Details

I. General information

NPI: 1598552366
Provider Name (Legal Business Name): MAKAYLA DANIELS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

121 CONCORDIA WOODS DR
MORRISVILLE NC
27560-9765
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-4721
  • Fax:
Mailing address:
  • Phone: 817-371-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number361691
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: