Provider Demographics
NPI:1407418049
Name:HOANG, AMANDA TOMI (PNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:TOMI
Last Name:HOANG
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 24TH ST NW APT 1214
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2287
Mailing Address - Country:US
Mailing Address - Phone:408-807-6781
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW STE 422
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-466-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP500012004363LP0200X
DCCN21013624363LP0200X
NYF382990-01363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics