MEDICARE: MRS. KATHERINE CHERYL GISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	818223	NV

General Provider Information

NPI Number	:	1922966993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE CHERYL GISH

Provider Business Mailing Address
First Line	:	1604 LAZY HILL RANCH WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6704
Country	:	US
Telephone Number	:	775-351-5613
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 LAZY HILL RANCH WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6704
Country	:	US
Telephone Number	:	775-351-5613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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