Healthcare Provider Details

I. General information

NPI: 1750285367
Provider Name (Legal Business Name): MACAYLA ELIZABETH KRAWCZYK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAKE BOONE TRL STE 402
RALEIGH NC
27607-7520
US

IV. Provider business mailing address

4800 TRIKALA AVE
RALEIGH NC
27603-8173
US

V. Phone/Fax

Practice location:
  • Phone: 704-425-4238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number323744
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: