Individual provider · Type 1 NPI
Moises Fajardo
Nurse Practitioner · Clawson, MI
Practice location
1402 W 14 Mile Rd
Clawson, MI 48017-1499
Mailing address
2445 Claymont Dr
Troy, MI 48098-2493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704267838 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704267838 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1740683069
Moises Fajardo's National Provider Identifier is 1740683069, issued on Oct 1, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clawson, MI. The record was last updated on Oct 22, 2020.