Healthcare Provider Details

I. General information

NPI: 1891655916
Provider Name (Legal Business Name): RAVEN DARBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18916 E BRIARGATE LN APT 2A
PARKER CO
80134-3672
US

IV. Provider business mailing address

18916 E BRIARGATE LN APT 2A
PARKER CO
80134-3672
US

V. Phone/Fax

Practice location:
  • Phone: 785-643-6423
  • Fax:
Mailing address:
  • Phone: 785-643-6423
  • 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: