Individual provider · Type 1 NPI

Ernestine Penvaga Fomunung-Ngam, ARNP

Family Nurse Practitioner · Las Vegas, NV

NPI number 1104352665 Active

Practice location

3830 E Flamingo Rd Ste 100
Las Vegas, NV 89121-6234

Fax (725) 712-8163

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice locations

  • 2010 Wellness Way Ste 200, Las Vegas, NV 89106-4142 · (702) 877-0814

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XARNP9310637 (FL)
Family Nurse Practitioner Primary 363LF0000X828062 (NV)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1104352665

Ernestine Penvaga Fomunung-Ngam, ARNP's National Provider Identifier is 1104352665, issued on May 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 10, 2026.