Individual
KATIE MACK DECAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 E 2ND ST STE 400, RENO, NV 89502-1198
(775) 982-2400
(775) 982-2410
Mailing address
1155 MILL ST # M-14, RENO, NV 89502-1576
(775) 982-2400
(775) 982-2410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
896514
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16711922
CAQH
NV
01
—
896514
LICENSE
NV
Enumeration date
12/20/2025
Last updated
02/18/2026
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