MRS. ASHLEY RENAE FAJARDO FNP-BC NPI 1144720368

NPI Information

NPI: 1144720368
Provider Name: MRS. ASHLEY RENAE FAJARDO, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5851 W 95TH ST STE 400
OAK LAWN, IL
ZIP 60453
Phone: (708) 857-7230
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MRS. Ashley Renae Fajardo, FNP-BC is a family nurse practitioner in Oak Lawn, IL. MRS. Ashley Renae Fajardo, FNP-BC NPI is 1144720368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5851 W 95TH ST STE 400
OAK LAWN, IL
ZIP 60453-415
Phone: (708) 857-7230

The enumeration date for this NPI number is 2/14/2018 and was last updated on 4/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041.385091	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209.017390	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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