Individual provider · Type 1 NPI

Ellaina Pena

Driver · Greensboro, NC

NPI number 1477136331 Active

Practice location

5515 W Market St Apt 906
Greensboro, NC 27409-2550

Call (336) 604-3283 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XFDT1645 (NC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1477136331

Ellaina Pena's National Provider Identifier is 1477136331, issued on Apr 29, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Greensboro, NC. The record was last updated on May 24, 2021.