Healthcare Provider Details
I. General information
NPI: 1154238897
Provider Name (Legal Business Name): DAKOTA RIDGE WOMEN'S HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12639 W GLASGOW PL
LITTLETON CO
80127-3315
US
IV. Provider business mailing address
12639 W GLASGOW PL
LITTLETON CO
80127-3315
US
V. Phone/Fax
- Phone: 720-633-4705
- Fax:
- Phone: 720-633-4705
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
RAIE
MCBRIDE
Title or Position: WOMEN'S HEALTH NURSE PRACTITIONER
Credential: MSN, WHNP
Phone: 720-633-4705