Individual
MRS. ASHLEY RENAE FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5851 W 95TH ST STE 400, OAK LAWN, IL 60453-2415
(708) 857-7230
Mailing address
5851 W 95TH ST STE 400, OAK LAWN, IL 60453-2415
(708) 857-7230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385091
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017390
IL
Other
Enumeration date
02/14/2018
Last updated
04/05/2018
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