MEDICARE: MAKAYLA MICHELLE MCNAIR CNA, DSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	603077771125	OH

General Provider Information

NPI Number	:	1740136019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKAYLA MICHELLE MCNAIR CNA, DSP

Provider Business Mailing Address
First Line	:	10614 LANGTON AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2242
Country	:	US
Telephone Number	:	440-429-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	10614 LANGTON AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2242
Country	:	US
Telephone Number	:	440-429-0223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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