Moises Fajardo

Nurse Practitioner · Clawson, MI

Individual Active NPI

NPI number 1740683069

Practice location

1402 W 14 Mile Rd
Clawson, MI 48017-1499
Phone
(866) 389-2727

Open in Google Maps

NPI record

NPI
1740683069
Entity type
Individual (Type 1)
Enumeration date
October 1, 2014
Last updated
October 22, 2020
Certified
October 22, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 4704267838 MI
Family Nurse Practitioner 363LF0000X 4704267838 MI

Mailing address

2445 Claymont Dr
Troy, MI 48098-2493
Phone
(248) 792-7114

About Moises Fajardo

Moises Fajardo is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1402 W 14 Mile Rd, Clawson, MI 48017-1499. The NPI number 1740683069 was assigned on October 1, 2014 and the record was last updated on October 22, 2020.

Moises Fajardo lists 2 licenses in the registry: #4704267838 (MI) for Nurse Practitioner; #4704267838 (MI) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Moises Fajardo?

The NPI number is 1740683069.

What is the phone number of Moises Fajardo?

The phone number listed for the practice location is (866) 389-2727.

Where is Moises Fajardo located?

1402 W 14 Mile Rd, Clawson, MI 48017-1499.

What is the taxonomy code for Moises Fajardo?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Clawson

All Nurse Practitioner providers in Clawson, MI →