Individual
BROOKE MELANIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
(702) 847-6252
(702) 847-6254
Mailing address
1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
(702) 847-6252
(702) 847-6254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
04/23/2026
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