Healthcare Provider Details

I. General information

NPI: 1487423356
Provider Name (Legal Business Name): KATHARINA GROSS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 PYRAMID WAY STE B
SPARKS NV
89431-8715
US

IV. Provider business mailing address

2321 PYRAMID WAY STE B
SPARKS NV
89431-8715
US

V. Phone/Fax

Practice location:
  • Phone: 775-395-9102
  • Fax: 775-204-9338
Mailing address:
  • Phone: 775-395-9102
  • Fax: 775-204-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number873972
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: