Provider Demographics
NPI:1750608709
Name:RENNELLS, ROBIN SEIDEL (CD(DONA))
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:SEIDEL
Last Name:RENNELLS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 BRIGHTON VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8633
Mailing Address - Country:US
Mailing Address - Phone:919-217-5049
Mailing Address - Fax:
Practice Address - Street 1:7420 BRIGHTON VILLAGE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8633
Practice Address - Country:US
Practice Address - Phone:919-217-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula