Individual provider · Type 1 NPI
Gudalia Fajardo
Family Nurse Practitioner · Port Huron, MI
NPI number
1083019012
Active
Practice location
2603 Electric Ave Ste 1
Port Huron, MI 48060-6588
Fax (810) 987-2120
Mailing address
45640 Schoenherr Rd, Suite B
Utica, MI 48315-6033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704267837 (MI) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Blue Water Eye Care Associates PCOphthalmology Physician Port Huron, MI NPI 1104081819
- Syed V. Ali, MD PCPulmonary Disease Physician Port Huron, MI NPI 1043645179
- Kevin D. Johnson, MDOphthalmology Physician Port Huron, MI NPI 1184721599
- Syed V. Ali, MDPulmonary Disease Physician Port Huron, MI NPI 1588664775
Other family nurse practitioner providers in Port Huron
- Kaitlyn Marie MahaffyFamily Nurse Practitioner Port Huron, MI NPI 1023879657
- Sarah Colleen Ingles, ARNPFamily Nurse Practitioner Port Huron, MI NPI 1053323147
- Jessica Lynn Heaney, NP-CFamily Nurse Practitioner Port Huron, MI NPI 1083193783
- Stephanie Maniaci, FNPFamily Nurse Practitioner Port Huron, MI NPI 1114302130
- Margaret Elizabeth Kuczynski, N.P.Family Nurse Practitioner Port Huron, MI NPI 1124364641
- Randi J. Votava, FNP-BCFamily Nurse Practitioner Port Huron, MI NPI 1144407321
- Kersten Wood, MSN, FNP-CFamily Nurse Practitioner Port Huron, MI NPI 1164259651
- Rachel Distelrath, FNP-BCFamily Nurse Practitioner Port Huron, MI NPI 1184440158
About NPI 1083019012
Gudalia Fajardo's National Provider Identifier is 1083019012, issued on Nov 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Huron, MI. The record was last updated on Feb 17, 2016.