Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE MELANIE WALLACE, PA
Active Sole ProprietorBROOKE MELANIE WALLACE, PA is a Physician Assistant healthcare provider located in HENDERSON, Nevada. NPI 1083504740 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENDERSON, NV
Registration Details
- NPI Number
- 1083504740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2025 (1.1242252426261 yrs)
- Last Updated
- Jul 5, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 S GREEN VALLEY PKWY STE 120HENDERSON, NV, 890520425Browse NV providers · Browse ZIP 89052
- Phone
- 7028476252
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HENDERSON, NV
| Name | Credential | NPI |
|---|---|---|
| JULIE S BRAUN | PA | 1396745873 |
| DOROTHY ELLA STONE | PA-C | 1083616445 |
| SHANNON SIGNORINO | PA C | 1396737235 |
| PAUL A MORGAN | PAC | 1871571018 |
| RICHARD DICARLO | — | 1831167691 |
| MR. TERRY ALLEN ROBICHAUD | PA-C | 1881644771 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.