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

Mrs. Ivana P. Fukumoto, NP-C

Individual provider Family Nurse Practitioner · NPI 1114234630

Mrs. Ivana P. Fukumoto, NP-C is a Family Nurse Practitioner in Henderson, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2010
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2350 Corporate Cir Ste 201
Henderson, NV 89074-7737
Phone: (702) 562-8900
Fax: (702) 407-0266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 — (800) 787-2568

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN001217 (NV)

Record details

NPI number1114234630
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2010
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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