Healthcare Provider Details

I. General information

NPI: 1336053081
Provider Name (Legal Business Name): LUZ ESTELLA CARDONA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13901 E EXPOSITION AVE STE 202
AURORA CO
80012-2552
US

IV. Provider business mailing address

13901 E EXPOSITION AVE STE 202
AURORA CO
80012-2552
US

V. Phone/Fax

Practice location:
  • Phone: 305-781-4813
  • Fax: 303-327-4711
Mailing address:
  • Phone: 305-781-4813
  • Fax: 303-327-4711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN-1002441-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN-1002441-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: