Ernestine Penvaga Fomunung-ngam, ARNP is a family nurse practitioner in Las Vegas, NV with 8 years of experience. Ernestine Penvaga Fomunung-ngam, ARNP NPI is 1104352665. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2010 WELLNESS WAY STE 200
LAS VEGAS, NV
ZIP 89106-142
Phone: (702) 877-0814
Fax: (702) 877-3238
The NPI 1104352665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/3/2017 and was last updated on 7/27/2021.