Provider Demographics
NPI:1346056454
Name:ACEVEDO, LUZ MARIA (RN)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:MARIA
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LUZ
Other - Middle Name:MARIA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:798 NORFOLK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-4555
Mailing Address - Country:US
Mailing Address - Phone:720-774-3482
Mailing Address - Fax:
Practice Address - Street 1:3525 W OXFORD AVE UNIT G-1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3112
Practice Address - Country:US
Practice Address - Phone:303-315-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1698052163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse