| 1 |  Mie Bjørndal Ottestad (NOR) | Uno-X Pro Cycling Team | 2:38:27 |
| 2 | Katrine Aalerud (NOR) | Movistar Team | s.t. |
| 3 |  Lotte Claes (BEL) | | 0:02 |
| 4 |  Sara Martín Martín (ESP) | Movistar Team | 1:04 |
| 5 |  Maëva Squiban (FRA) | | s.t. |
| 6 |  Tamara Dronova-Balabolina (RUS) | Team Jayco Alula | s.t. |
| 7 |  Debora Silvestri (ITA) | | s.t. |
| 8 |  Yuliia Biriukova (UKR) | | s.t. |
| 9 | Edseth Marte Berg (NOR) | Uno-X Pro Cycling Team | 5:01 |
| 10 |  Michaela Drummond (NZL) | | 5:26 |
| 11 |  Catalina Anais Soto Campos (CHI) | Bizkaia - Durango | s.t. |
| 12 | Federica Damiana Piergiovanni (ITA) | | s.t. |
| 13 |  Elizabeth Stannard (AUS) | | s.t. |
| 14 | Ariana Gilabert Vilaplana (ESP) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 15 |  Rasa Leleivyte (LTU) | Aromitalia - Basso Bikes - Vaiano | s.t. |
| 16 | Marta Romeu Solaz (ESP) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 17 | Aranza Valentina Villalon Sanchez (CHI) | Eneicat - Cmteam - Seguros Deportivos | s.t. |
| 18 | Barbara Malcotti (ITA) | Human Powered Health | s.t. |
| 19 | Carlotta Cipressi (ITA) | | s.t. |
| 20 |  Cristiana Valente (POR) | | s.t. |
| 21 |  Agua Marina Espínola Salinas (PAR) | | s.t. |
| 22 |  Jessenia Alejandra Meneses Gonzalez (COL) | | s.t. |
| 23 |  Leonie Laubig (GER) | | s.t. |
| 24 |  Mareille Meijering (NED) | | s.t. |
| 25 | Sigrid Ytterhus Haugset (NOR) | Team Coop - Hitec Products | s.t. |
| 26 |  Karolina Perekitko (POL) | | s.t. |
| 27 |  Eri Yonamine (JAP) | Human Powered Health | 7:12 |
| 28 | Emma Dyrhovden (NOR) | | s.t. |
| 29 |  Petra Zsankó (HUN) | Massi - Tactic | 12:52 |
| 30 | Idoia Eraso Lasa (ESP) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 31 |  Alice Sharpe (IRL) | Israel Premier Tech Roland | s.t. |
| 32 | Susana Perez Conejero (ESP) | Cantabria Deporte - Rio Miera | s.t. |
| 33 | Maria Paula Latriglia Alarcon (COL) | | s.t. |
| 34 |  Ariadna Gutierrez Arzaluz (MEX) | Farto-Btc Women's Cycling Team | s.t. |
| 35 | Estefanía Herrera Marin (COL) | | s.t. |
| 36 | Lourdes Oyarbide Jimenez (ESP) | Movistar Team | s.t. |
| 37 |  Maggie Coles-Lyster (CAN) | | s.t. |
| 38 | Alicia González Blanco (ESP) | Movistar Team | s.t. |
| 39 |  Ana Vitória Gouvea Vieira Almeida Magalhães (BRA) | Bizkaia - Durango | s.t. |
| 40 | Stefania Sanchez Zapata (COL) | | s.t. |
| 41 | Sara Juliana Moreno Benitez (COL) | | s.t. |
| 42 |  Frances Janse Van Rensburg (RSA) | | s.t. |
| 43 | Irene Mendez Melgarejo (ESP) | Bizkaia - Durango | s.t. |
| 44 | Iurani Blanco Calbet (ESP) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 45 | Anastasia Carbonari (ITA) | | 14:43 |
| 46 | Malin Eriksen (NOR) | Duolar - Chevalmeire | s.t. |
| 47 | Francesca Baroni (ITA) | | s.t. |
| 48 | Irene Affolati (ITA) | Aromitalia - Basso Bikes - Vaiano | s.t. |
| 49 | Beatriz Pereira (POR) | Bizkaia - Durango | s.t. |
| 50 | Alessia Bulleri (ITA) | Eneicat - Cmteam - Seguros Deportivos | s.t. |
| 51 |  Llori Sharpe (JAM) | | s.t. |
| 52 |  Daniela Schmidsberger (AUT) | | 14:46 |
| 53 |  Lija Laizane (LAT) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 54 | Jennifer Tatiana Ducuara Acevedo (COL) | Massi - Tactic | s.t. |
| 55 | Andrea Ramírez Fregoso (MEX) | Bizkaia - Durango | s.t. |
| 56 | Floraine Bernard (FRA) | | s.t. |
| 57 | Georgia Whitehouse (AUS) | | s.t. |
| 58 | Maria Camila Atahualpa Ortiz (COL) | | s.t. |
| 59 | Isabel Martín Martín (ESP) | Eneicat - Cmteam - Seguros Deportivos | s.t. |
| 60 | Marine Allione (FRA) | | s.t. |
| 61 | Ana Cristina Sanabria Sanchez (COL) | | s.t. |
| 62 | Maria del Pilar Jiménez Martinez (ESP) | Farto-Btc Women's Cycling Team | s.t. |
| 63 | Lina Marcela Hernandez Gomez (COL) | | s.t. |
| 64 | Maria Esther Maqueda (ESP) | | 18:37 |
| 65 |  Nofar Maoz (ISR) | Israel Premier Tech Roland | s.t. |
| 66 | Marina Garau Roca (ESP) | Cantabria Deporte - Rio Miera | s.t. |
| 67 | Laura Marti Selles (ESP) | | s.t. |
| 68 | Noémie Daumas (FRA) | | s.t. |
| 69 | Liliana Domingues de Jesus (POR) | | OTL |
| 70 | Gloria Rodríguez Sanchez (ESP) | Movistar Team | OTL |
| 71 | Justyna Czapla (GER) | | OTL |
| 72 | Alli Anderson (AUS) | | OTL |
| 73 |  Diane Ingabire (RWA) | | OTL |
| 74 | Lucinda Stewart (AUS) | | OTL |
| 75 | Elisabet Escursell Valero (ESP) | Massi - Tactic | OTL |
| 76 | Marie Dezandez (FRA) | | OTL |
| 77 | Sandra Gutierrez Conde (ESP) | Bizkaia - Durango | OTL |
| 78 |  Miryan Maritza Nuñez Padilla (ECU) | Massi - Tactic | OTL |
| 79 | Andrea Perez Figueroa (ESP) | Cantabria Deporte - Rio Miera | OTL |
| DNF | Lara Vieceli (ITA) | Team Jayco Alula | - |
| DNS | Henrietta Christie (NZL) | Human Powered Health | - |
| DNS |  Makayla MacPherson (USA) | Human Powered Health | - |
Uae Development Team
Israel Premier Tech Roland