Individual
AMY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5785 CENTENNIAL CENTER BLVD STE 190, LAS VEGAS, NV 89149-7110
(702) 383-6270
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-1914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2079
NV
363AM0700X
Medical Physician Assistant
PA209
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115721
NCCPA
—
01
—
PA2079
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
02/12/2019
Last updated
08/22/2024
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