MRS. IVANA FUKUMOTO, NP-C

Nurse Practitioner - Family

Active Individual
NPI: 1114234630

Practice Address

5575 S DURANGO DR STE 103
Las Vegas, NV 89113

Phone: (702) 435-5437

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes APN001217 (NV)

Frequently Asked Questions

NPI 1114234630 is the National Provider Identifier for MRS. IVANA FUKUMOTO, NP-C, a Nurse Practitioner - Family provider located in Las Vegas, NV. This NPI was enumerated on September 3, 2010.
MRS. IVANA FUKUMOTO, NP-C practices at 5575 S DURANGO DR STE 103, Las Vegas, NV 89113.

Quick Facts

NPI
1114234630
Type
Individual
Enumerated
Sep 3, 2010
Last Updated
Jun 20, 2025

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