Marie V Fajardo, R.N., N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20890 Issued in CA

Practice address

5161 W Bluff Ave
Fresno, CA 93722-2139

Phone

(559) 960-0125

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1487934501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 W BLUFF AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 W BLUFF AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222139",
            "telephone_number": "559-960-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "MARIE",
        "middle_name": "V",
        "credential": "R.N., N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morigan Snow Fairbanks
• Troy Eugene Fairchild Jr., PHARMD
• Faithful Home Health Services
• Henry Doloso Fajardo, D.M.D.
• Jacklyn Fajardo
• Yuriel S Falcon Garcia
• Alyssa Lilia Falcon
• Anali Falcon
• Brianna Raylynn Falcon
• Cassandra Falcon, CLD, CPD, CBE

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.