Provider Demographics
NPI:1417339706
Name:NUNGE, YI MEI (FNP)
Entity Type:Individual
Prefix:
First Name:YI MEI
Middle Name:
Last Name:NUNGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:YI MEI
Other - Middle Name:
Other - Last Name:NUNGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:15016 WILLETS POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3620
Mailing Address - Country:US
Mailing Address - Phone:917-484-0941
Mailing Address - Fax:
Practice Address - Street 1:13620 38TH AVE STE 6D
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4232
Practice Address - Country:US
Practice Address - Phone:718-886-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY626057-1163W00000X
NYF349424-01363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse