Individual
AMY RENEE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
5961 S LOS ALTOS PKWY STE 107, SPARKS, NV 89436-2501
(775) 322-4550
(775) 322-4956
Mailing address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
842522
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518537794
—
NV
01
—
15226548
CAQH
—
Enumeration date
06/29/2021
Last updated
08/15/2026
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