Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bernice Fomunung

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1225679368

Bernice Fomunung is a Psychiatric/Mental Health Nurse Practitioner in Chehalis, Washington. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
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Practice location Address checks out

375 SW 11th St
Chehalis, WA 98532-4700
Phone: (564) 999-3410
Fax: (360) 740-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP142982 (TX)

Record details

NPI number1225679368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2019
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3134 Izabella Ct, Frisco, TX 75033-8068

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