Individual provider · Type 1 NPI

Brooke Wagner

Home Health Registered Nurse · Las Vegas, NV

NPI number 1396574273 Active

Practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Fax (702) 460-0301

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X853791 (NV)
Licensed Practical Nurse 164W00000X853791 (NV)

Home Health Registered Nurse: Definition to come...

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About NPI 1396574273

Brooke Wagner's National Provider Identifier is 1396574273, issued on Jul 30, 2024. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 8, 2026.