Individual
MARK DAVID FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
4310 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 763-7811
Mailing address
4310 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 763-7811
(702) 947-4920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
817938
NV
Other
Enumeration date
04/15/2024
Last updated
10/30/2024
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