Healthcare Provider Details

I. General information

NPI: 1326858374
Provider Name (Legal Business Name): AMY PANG HAMTAK DNP, APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY ELIZABETHH PANG

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY STE 901
RENO NV
89502-1464
US

IV. Provider business mailing address

75 PRINGLE WAY STE 901
RENO NV
89502-1464
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-2204
  • Fax: 775-982-3316
Mailing address:
  • Phone: 775-982-2204
  • Fax: 775-982-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number845074
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: