Healthcare Provider Details

I. General information

NPI: 1225952930
Provider Name (Legal Business Name): CATHERINE D BOHL MSN, APRN-NPC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 PARADISE RD STE C114
LAS VEGAS NV
89119-1232
US

IV. Provider business mailing address

5030 PARADISE RD STE C114
LAS VEGAS NV
89119-1232
US

V. Phone/Fax

Practice location:
  • Phone: 725-260-6844
  • Fax:
Mailing address:
  • Phone: 725-260-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-CNP904590
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: