Individual provider · Type 1 NPI
Makena Grace Dillashaw
Acute Care Nurse Practitioner · Birmingham, AL
NPI number
1245124965
Active
Practice location
1802 6th Ave S # M855C
Birmingham, AL 35233-1932
Mailing address
374 County Road 1651
Cullman, AL 35058-7832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-158332 (AL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1-158332 (AL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245124965
Makena Grace Dillashaw's National Provider Identifier is 1245124965, issued on Jun 6, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Birmingham, AL. The record was last updated on Jun 6, 2025.