Graceful Aging
NPI #1053883306 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1053883306
- Entity Type
- Organization
- Organization Name
- Graceful Aging
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Dec 27, 2018
- Last Updated
- Aug 2, 2021
Practice Location
- Address
- 4402 SUPERSTITION DR
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-7503
- Phone
- (575) 621-3390
Authorized Official
- Name
- MRS. AMY ELISE LOPEZ, DNP
- Title
- OWNER
- Phone
- (575) 621-3390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Gerontology — Gerontology |
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