Individual
ELENA OTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 ROBINHOOD RD, WINSTON SALEM, NC 27106-5403
(336) 765-5361
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895
(336) 765-5361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
160483
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3363312766
TELEPHONE NUMBER
—
01
—
8631683
DRIVER'S LICENSE
NC
Enumeration date
12/04/2007
Last updated
04/29/2019
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