Healthcare Provider Details

I. General information

NPI: 1336082767
Provider Name (Legal Business Name): AMBER EGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER PINCKNEY DFM

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5166 W PATRICK LN STE 100
LAS VEGAS NV
89118-2842
US

IV. Provider business mailing address

2615 S TENAYA WAY
LAS VEGAS NV
89117-2917
US

V. Phone/Fax

Practice location:
  • Phone: 702-625-2176
  • Fax:
Mailing address:
  • Phone: 512-970-4331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: