Individual provider · Type 1 NPI

Bernice Fomunung

Psychiatric/Mental Health Nurse Practitioner · Chehalis, WA

NPI number 1225679368 Active

Practice location

375 SW 11th St
Chehalis, WA 98532-4700

Fax (360) 740-3450

Mailing address

3134 Izabella Ct
Frisco, TX 75033-8068

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP142982 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1225679368

Bernice Fomunung's National Provider Identifier is 1225679368, issued on Sep 30, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chehalis, WA. The record was last updated on May 18, 2026.