GLORIA FAJARDO RN NPI 1245462100

NPI Information

NPI: 1245462100
Provider Name: GLORIA FAJARDO, RN
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
909 PERRY MEADOWS DR NE
RIO RANCHO, NM
ZIP 87144
Phone: (505) 350-0229
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Gloria Fajardo, RN is an ambulatory care registered nurse in Rio Rancho, NM. Gloria Fajardo, RN NPI is 1245462100. 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:

909 PERRY MEADOWS DR NE
RIO RANCHO, NM
ZIP 87144-596
Phone: (505) 350-0229

The enumeration date for this NPI number is 8/11/2009 and was last updated on 8/11/2009.

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	163WP2201X	Registered Nurse	Ambulatory Care	R30491	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R30491	OTHER	NEW MEXICO	RN

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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