IndividualActive
Bernice Fomunung
NPI 1225679368 · Psychiatric/Mental Health Nurse Practitioner · Chehalis, WA
Provider details
- NPI number
- 1225679368
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP142982 (TX)
Practice location
375 Sw 11th St
Chehalis, WA 98532-4700
Phone: (564) 999-3410
Fax: (360) 740-3450
Mailing address
3134 Izabella Ct
Frisco, TX 75033-8068
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.