MOISES FAJARDO
Nurse Practitioner
Active
Individual
NPI: 1740683069
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 4704267838 (MI) |
| Nurse Practitioner | 363L00000X | Yes | 4704267838 (MI) |
Frequently Asked Questions
NPI 1740683069 is the National Provider Identifier for MOISES FAJARDO, a Nurse Practitioner provider located in Clawson, MI. This NPI was enumerated on October 1, 2014.
MOISES FAJARDO practices at 1402 W 14 MILE RD, Clawson, MI 48017.
Quick Facts
- NPI
- 1740683069
- Type
- Individual
- Enumerated
- Oct 1, 2014
- Last Updated
- Oct 22, 2020
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