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Mrs. Ivana P. Fukumoto, APN
Family Nurse Practitioner in Las Vegas, Nevada
NPI 1114234630

Ivana P. Fukumoto is a Family Nurse Practitioner based in Las Vegas, NV and is specialized in Family. Ivana P. Fukumoto practices in Las Vegas, NV and has the professional credentials of APN. The NPI Number for Ivana P. Fukumoto is 1114234630 and holds a License No. APN001217 (Nevada).

The current practice location address for Ivana P. Fukumoto is 5575 S Durango Dr Ste 103, Las Vegas, NV and can be reached out via phone at 702-435-5437 and via fax at 702-851-9640.

Location: 5575 S Durango Dr Ste 103, Las Vegas, NV, 89113-2133
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Provider Profile Details
NPI Number
1114234630
Provider Name
Ivana P. Fukumoto
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
5575 S Durango Dr Ste 103, Las Vegas, NV, 89113-2133
Phone Number
702-435-5437
Fax Number
702-851-9640
Provider Enumeration Date
09/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114234630 05 NV
institution
Provider Business Practice Location Address Details
Address
5575 S Durango Dr Ste 103
City
State
Zip
89113-1834
Phone Number
702-435-5437
Fax Number
702-851-9640
person
Provider Business Mailing Address Details
Address
5575 S Durango Dr Ste 103
City
State
Zip
89113-1834
Phone Number
702-435-5437
Fax Number
702-851-9640
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN001217 (Nevada)
Definition
Definition to come...
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