IndividualActive
Ellaina Pena
NPI 1477136331 · Driver · Greensboro, NC
Provider details
- NPI number
- 1477136331
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- FDT1645 (NC)
Practice location
5515 W Market St Apt 906
Greensboro, NC 27409-2550
Phone: (336) 604-3283
Mailing address
5515 W Market St Apt 906
Greensboro, NC 27409-2550
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.