Healthcare Provider Details

I. General information

NPI: 1508518457
Provider Name (Legal Business Name): KATHERINE VISMAN DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 S VIRGINIA ST STE 202
RENO NV
89502-2834
US

IV. Provider business mailing address

1699 S VIRGINIA ST STE 202
RENO NV
89502-2834
US

V. Phone/Fax

Practice location:
  • Phone: 775-432-7074
  • Fax: 775-432-7079
Mailing address:
  • Phone: 775-432-7074
  • Fax: 775-432-7079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number847608
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: