Healthcare Provider Details

I. General information

NPI: 1114803699
Provider Name (Legal Business Name): RILEY BRAYTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 N WASHINGTON ST APT 1
DENVER CO
80203-5253
US

IV. Provider business mailing address

1136 N WASHINGTON ST APT 1
DENVER CO
80203-5253
US

V. Phone/Fax

Practice location:
  • Phone: 860-490-4740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN.1696903
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: