Healthcare Provider Details

I. General information

NPI: 1780521369
Provider Name (Legal Business Name): YA BINTA DARBOE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD
RICHMOND HEIGHTS MO
63117-1811
US

IV. Provider business mailing address

16318 S LAURELWOOD ST
OLATHE KS
66062-7865
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8000
  • Fax:
Mailing address:
  • Phone: 785-432-0649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number13158154011
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: