Provider Demographics
NPI:1164031563
Name:FUNG, YUN (NP)
Entity type:Individual
Prefix:
First Name:YUN
Middle Name:
Last Name:FUNG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:WINNIE
Other - Middle Name:
Other - Last Name:FUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:2345 E THOMAS RD STE 100
Mailing Address - Street 2:#954
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-834-4008
Mailing Address - Fax:
Practice Address - Street 1:3635 E INVERNESS AVE STE 109
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3848
Practice Address - Country:US
Practice Address - Phone:602-834-8108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ244394363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health