IndividualActive
Beverly Fajardo
NPI 1073458774 · Family Medicine Physician · Centreville, VA
Provider details
- NPI number
- 1073458774
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0024197060 (VA)
Mailing address
14801 Lynhodge Ct
Centreville, VA 20120-1863
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.