Organization · Type 2 NPI
Graceful Aging LLC
Gerontology Nurse Practitioner · Las Cruces, NM
NPI number
1053883306
Active
Practice location
2707 Spitz St
Las Cruces, NM 88005-1338
Fax (575) 888-2444
Mailing address
PO Box 13426
Las Cruces, NM 88013-3426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | None listed |
| Phlebotomy Technician | 246RP1900X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1053883306
Graceful Aging LLC's National Provider Identifier is 1053883306, issued on Dec 27, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Las Cruces, NM. The record was last updated on Mar 9, 2026.