Individual provider · Type 1 NPI
Ivana P. Fukumoto, NP-C
Family Nurse Practitioner · Henderson, NV
NPI number
1114234630
Active
Practice location
2350 Corporate Cir Ste 201
Henderson, NV 89074-7737
Fax (702) 407-0266
Mailing address
6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Other practice locations
- 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 · (800) 787-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN001217 (NV) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Martha KimFamily Nurse Practitioner Henderson, NV NPI 1003491929
- Lauren Branch Parker, APRN, FNP-CFamily Nurse Practitioner Henderson, NV NPI 1013325992
- Sandra Marie Seegmiller, DNPFamily Nurse Practitioner Henderson, NV NPI 1013501402
- Catherine Ferguson, FNP-CFamily Nurse Practitioner Henderson, NV NPI 1013520279
- Lorna Lynn Medcalf, FNP-CFamily Nurse Practitioner Henderson, NV NPI 1023602687
- Jayson Lintag Bautista, APRNFamily Nurse Practitioner Henderson, NV NPI 1023776309
- Alicia FlamencoFamily Nurse Practitioner Henderson, NV NPI 1023878287
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.