Brooke Melanie Wallace, PA

NPI #1083504740 in Henderson, Nevada

Provider Information

NPI Number
1083504740
Entity Type
Individual
Name
Brooke Melanie Wallace, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 5, 2025
Last Updated
Jul 5, 2025

Practice Location

Address
650 S GREEN VALLEY PKWY STE 120
State
Nevada
ZIP Code
89052-0425
Phone
(702) 847-6252

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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