Provider Demographics
NPI:1326858374
Name:HAMTAK, AMY PANG (DNP, APRN-CNS)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:PANG
Last Name:HAMTAK
Suffix:
Gender:F
Credentials:DNP, APRN-CNS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ELIZABETHH
Other - Last Name:PANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1683 CRESCENT POINTE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6894
Mailing Address - Country:US
Mailing Address - Phone:925-683-0227
Mailing Address - Fax:
Practice Address - Street 1:75 PRINGLE WAY STE 712
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1472
Practice Address - Country:US
Practice Address - Phone:925-683-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV845074364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care MedicineGroup - Single Specialty