Individual
SER BERNARD BUNGUBUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2020 WELLNESS WAY STE 300, LAS VEGAS, NV 89106-4145
(702) 432-2233
(702) 800-5456
Mailing address
1930 VILLAGE CENTER CIR STE 3-717, LAS VEGAS, NV 89134-6299
(702) 432-2233
(702) 800-5456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN73425
NV
363LF0000X
Family Nurse Practitioner
Primary
875418
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16117083
CAQH ID
NV
05
—
250030173
—
NV
Enumeration date
01/11/2024
Last updated
04/06/2024
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