Individual provider · Type 1 NPI

Brooke Melanie Wallace, PA

Physician Assistant · Henderson, NV

NPI number 1083504740 Active

Practice location

1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723

Call (702) 847-6252 Map

Fax (702) 847-6254

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083504740

Brooke Melanie Wallace, PA's National Provider Identifier is 1083504740, issued on Jul 5, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Henderson, NV. The record was last updated on Apr 23, 2026.