National Provider Identifier
Amanda Fajardo
Amanda Fajardo is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Niagara Falls, NY and a listed phone number of (716) 247-1254.
Profile Overview
- NPI
- 1851104301
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- January 29, 2025
- Last Updated
- March 06, 2025
Practice Location
- 3117 Military RD
- Niagara Falls, NY 14304-4813
Phone: (716) 247-1254
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1851104301
- Entity Type
- Individual
- Last Name
- Fajardo
- First Name
- Amanda
- Mailing Street Address
- 3117 Military RD
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-4813
- Mailing Country
- US
- Mailing Phone
- (716) 257-1254
- Mailing Fax
- (716) 215-6170
- Practice Street Address
- 3117 Military RD
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-4813
- Practice Country
- US
- Practice Phone
- (716) 247-1254
- Enumeration Date
- January 29, 2025
- Last Updated
- March 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)