NPI 1477136331

Ellaina Pena

Practitioner Driver Greensboro, NC

Practice location

Address: 5515 W Market St APT 906, Greensboro, NC 27409-2550
Phone: (336) 604-3283

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence FDT1645 (NC)

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Registry record

NPI: 1477136331
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2021
Record last updated: 24 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.