Healthcare Provider Details

I. General information

NPI: 1083373633
Provider Name (Legal Business Name): KATHARINE ELIZABETH GELLISH NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8246 W BOWLES AVE UNIT T
LITTLETON CO
80123-3084
US

IV. Provider business mailing address

8246 W BOWLES AVE UNIT T
LITTLETON CO
80123-3084
US

V. Phone/Fax

Practice location:
  • Phone: 303-800-0880
  • Fax: 415-252-7176
Mailing address:
  • Phone: 303-800-0880
  • Fax: 415-252-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.0996886-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: