OrganizationActive
Graceful Aging LLC
NPI 1053883306 · Gerontology Nurse Practitioner · Las Cruces, NM
Provider details
- NPI number
- 1053883306
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amy Lopez, Owner(575) 621-3390
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Phlebotomy Technician246RP1900X
Technologists, Technicians & Other Technical Service Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
Practice location
2707 Spitz St
Las Cruces, NM 88005-1338
Phone: (575) 203-1477
Fax: (575) 888-2444
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13426
Las Cruces, NM 88013-3426
Registry dates
- Enumerated
- 2018-12-27
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.