Healthcare Provider Details

I. General information

NPI: 1285559856
Provider Name (Legal Business Name): AMRITA TAMANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8514 REYNOLDS ST
OMAHA NE
68122-1292
US

IV. Provider business mailing address

5514 N 103RD ST
OMAHA NE
68134-1005
US

V. Phone/Fax

Practice location:
  • Phone: 402-800-4973
  • Fax:
Mailing address:
  • Phone: 531-999-3254
  • Fax: 531-999-2863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: