Provider Demographics
NPI:1104301951
Name:GEIBEL, RENA LENAY PUGH (MPH, CD(DONA), LCCE)
Entity type:Individual
Prefix:MS
First Name:RENA
Middle Name:LENAY PUGH
Last Name:GEIBEL
Suffix:
Gender:F
Credentials:MPH, CD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 LYNCH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2118
Mailing Address - Country:US
Mailing Address - Phone:202-701-5374
Mailing Address - Fax:
Practice Address - Street 1:513 LYNCH ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2118
Practice Address - Country:US
Practice Address - Phone:202-701-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula