MAKENA GRACE DILLASHAW

BIRMINGHAM, AL
NPI1245124965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-158332)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  1-158332)
Enumeration Date2025-06-06
Last Update Date2025-06-06
Business Address
MAKENA GRACE DILLASHAW
1802 6TH AVE S # M855C
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-6256
Mailing Address
MAKENA GRACE DILLASHAW
374 COUNTY ROAD 1651
CULLMAN, AL 35058-7832
Phone number: 256-347-6861