Individual provider · Type 1 NPI

Mariah Fadjo

Family Nurse Practitioner · Salem, MA

NPI number 1538035803 Active

Practice location

300 Canal St
Salem, MA 01970-4558

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN9520270 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1538035803

Mariah Fadjo's National Provider Identifier is 1538035803, issued on Oct 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, MA. The record was last updated on Jul 15, 2026.