Provider Demographics
NPI:1639688229
Name:LOPEZ ARTEAGA, DAYANA (NP)
Entity Type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:LOPEZ ARTEAGA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 S POTOMAC ST
Mailing Address - Street 2:STE 230
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012
Mailing Address - Country:US
Mailing Address - Phone:303-369-1077
Mailing Address - Fax:303-369-9785
Practice Address - Street 1:1550 S POTOMAC ST
Practice Address - Street 2:STE 230
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012
Practice Address - Country:US
Practice Address - Phone:303-369-1077
Practice Address - Fax:303-369-9785
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1650799163W00000X
COAPN.0995825-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000191399Medicaid