Individual
ERNESTINE PENVAGA FOMUNUNG-NGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3830 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121-6234
(725) 269-1044
(725) 712-8163
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9310637
FL
363LF0000X
Family Nurse Practitioner
Primary
828062
NV
363LF0000X
Family Nurse Practitioner
ARNP9310637
FL
Other
Enumeration date
05/03/2017
Last updated
02/10/2026
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