Provider Demographics
NPI:1396516712
Name:SANBORN, CHRYSTAL RAE (CD (DONA))
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:RAE
Last Name:SANBORN
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10892 W PATTERSON PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1962
Mailing Address - Country:US
Mailing Address - Phone:303-548-4246
Mailing Address - Fax:
Practice Address - Street 1:10892 W PATTERSON PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1962
Practice Address - Country:US
Practice Address - Phone:303-548-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15208374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula