Provider Demographics
NPI:1447140660
Name:ACEVEDO, DAVID (RN)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ACEVEDO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:WAYNE
Other - Last Name:JETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3953 S ESPANA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4501
Mailing Address - Country:US
Mailing Address - Phone:720-541-3564
Mailing Address - Fax:
Practice Address - Street 1:3953 S ESPANA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-4501
Practice Address - Country:US
Practice Address - Phone:720-541-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1685744163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy