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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOISES FAJARDO

Active

MOISES FAJARDO is a Nurse Practitioner healthcare provider located in CLAWSON, Michigan. NPI 1740683069 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CLAWSON, MI

Registration Details

NPI Number
1740683069
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2014 (11.723961138834 yrs)
Last Updated
Oct 22, 2020
Licenses
4704267838 (MI)
4704267838 (MI)

Practice Information

Address
1402 W 14 MILE RD
CLAWSON, MI, 480171499
Browse MI providers · Browse ZIP 48017
Phone
8663892727
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CLAWSON, MI

Name Credential NPI
MS. KRISTINA KNECHTL 1205428000
SADE ANDREA PITTS FNP-BC 1043190697
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.