BRIANNE WADTKE
NPI 1194085472
Military Health Care Provider - Independent Duty Medical Technicians in North Las Vegas, NV

Active since May 21, 2012
405 PRAIRIE MOON AVE, NORTH LAS VEGAS, NV 89084(702) 534-0321 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brianne Wadtke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNE WADTKE (NPI 1194085472) is an individual independent duty medical technicians provider in North Las Vegas, Nevada and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1194085472
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameBRIANNE WADTKE
Location Address405 PRAIRIE MOON AVENorth Las Vegas, NV 89084-1257
Mailing Address405 Prairie Moon AveNorth Las Vegas, NV 89084-1257
Sole ProprietorNo
Enumeration DateMay 21, 2012
NPI 1194085472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
405 PRAIRIE MOON AVE, North Las Vegas, NV 89084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brianne Wadtke's NPI number?

The NPI number for Brianne Wadtke is 1194085472. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Brianne Wadtke located?

Brianne Wadtke practices at 405 Prairie Moon Ave, North Las Vegas, NV 89084. The listed phone number is (702) 534-0321.

What is Brianne Wadtke's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Brianne Wadtke was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.