Provider Demographics
NPI:1538966239
Name:PIURA, OLENA
Entity type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:PIURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5241 MANZANITA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0542
Mailing Address - Country:US
Mailing Address - Phone:916-980-7283
Mailing Address - Fax:
Practice Address - Street 1:101 CREEKSIDE RIDGE CT # 215
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3595
Practice Address - Country:US
Practice Address - Phone:916-903-3482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker