Provider Demographics
NPI:1891031308
Name:RICHARDS, BROOKE MORGAN RILEY (CNM WHNP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:MORGAN RILEY
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CNM WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3857 OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2140
Mailing Address - Country:US
Mailing Address - Phone:720-346-4241
Mailing Address - Fax:
Practice Address - Street 1:7155 E 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1630
Practice Address - Country:US
Practice Address - Phone:720-346-4241
Practice Address - Fax:408-281-3678
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM55798363LW0102X
CA1983367A00000X
NV819756367A00000X
CO0103874367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO167482Medicaid
NM38139057Medicaid