Healthcare Provider Details

I. General information

NPI: 1598589376
Provider Name (Legal Business Name): KARISA TOTAH CD(DONA), PCD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6741 S IVY WAY APT A1
CENTENNIAL CO
80112-6299
US

IV. Provider business mailing address

6741 S IVY WAY APT A1
CENTENNIAL CO
80112-6299
US

V. Phone/Fax

Practice location:
  • Phone: 720-778-1274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: