Individual provider · Type 1 NPI
Lorraine D. Fajardo, FNP-BC
Family Nurse Practitioner · San Tan Valley, AZ
NPI number
1669975876
Active
Practice location
3608 E Desert Moon Trl
San Tan Valley, AZ 85143-3366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP11074 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669975876
Lorraine D. Fajardo, FNP-BC's National Provider Identifier is 1669975876, issued on Mar 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Mar 14, 2018.