Lorraine D Fajardo, FNP-BC
Nurse Practitioner, Family in San Tan Valley, AZ. Individual provider (NPI-1).
NPI number1669975876
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1669975876
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lorraine D Fajardo
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP11074 | AZ | Yes |
Practice location
3608 E Desert Moon TrlSan Tan Valley, AZ 85143-3366
Phone 480-677-4240
Mailing address
3608 E Desert Moon TrlSan Tan Valley, AZ 85143-3366
Phone 480-677-4240
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