Healthcare Provider Details

I. General information

NPI: 1760396386
Provider Name (Legal Business Name): SHAYLA RENAE RICHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12227 E 52ND AVENUE DR
DENVER CO
80239-4004
US

IV. Provider business mailing address

12227 E 52ND AVENUE DR
DENVER CO
80239-4004
US

V. Phone/Fax

Practice location:
  • Phone: 720-323-6414
  • Fax:
Mailing address:
  • Phone: 720-323-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: