Provider Demographics
NPI:1235658592
Name:COMAHIG, GERLIE (RN)
Entity Type:Individual
Prefix:
First Name:GERLIE
Middle Name:
Last Name:COMAHIG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 SPRING MOUNTAIN RD STE 61
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8624
Mailing Address - Country:US
Mailing Address - Phone:702-478-9934
Mailing Address - Fax:
Practice Address - Street 1:3305 SPRING MOUNTAIN RD STE 61
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8624
Practice Address - Country:US
Practice Address - Phone:702-478-9934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN6924163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management