Individual provider · Type 1 NPI

Ivana P. Fukumoto, NP-C

Family Nurse Practitioner · Henderson, NV

NPI number 1114234630 Active

About NPI 1114234630

Ivana P. Fukumoto, NP-C's National Provider Identifier is 1114234630, issued on Sep 3, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Henderson, NV. The record was last updated on May 21, 2026.