Individual provider · Type 1 NPI

Gabriel Fajardo Jr.

Gastroenterology Registered Nurse · Boise, ID

NPI number 1801765524 Active

Practice location

500 W Fort St
Boise, ID 83702-4599

Mailing address

1622 W Teton Ave
Nampa, ID 83686-4820

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Registered Nurse Primary 163WG0100X60578 (ID)

Gastroenterology Registered Nurse: Definition to come...

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About NPI 1801765524

Gabriel Fajardo Jr.'s National Provider Identifier is 1801765524, issued on Oct 31, 2025. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Boise, ID. The record was last updated on Oct 31, 2025.