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BROOKE WAGNER
NPI 1396574273
Licensed Practical Nurse in Las Vegas, NV

Active since July 30, 2024
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119(702) 463-0300(702) 460-0301 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Wagner NPPES

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

BROOKE WAGNER (NPI 1396574273) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Nevada (853791) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1396574273
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBROOKE WAGNER
Location Address4040 S EASTERN AVE STE 300Las Vegas, NV 89119-0854
Mailing Address4040 S Eastern Ave Ste 300Las Vegas, NV 89119-0854 · (702) 463-0300 · Fax (702) 460-0301
Phone(702) 463-0300
Fax(702) 460-0301
Sole ProprietorNo
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1396574273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NV · 853791
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4040 S EASTERN AVE STE 300, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA CAREY
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
SARA AZEVEDO DONOVAN,
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
MYA WOOD-JOHNSON LPN
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
JORDAN MOREDA RN
Registered Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
KAREN A LEWIS
Registered Nurse (Home Health)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
JUAN CARLOS GARCIA PEREZ SR.
Registered Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
EMMA AGNEW
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300
GLORDINA MEJIA
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Clark County (702) 463-0300

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 Brooke Wagner's NPI number?

The NPI number for Brooke Wagner is 1396574273. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Brooke Wagner located?

Brooke Wagner practices at 4040 S Eastern Ave Ste 300, Las Vegas, NV 89119. The listed phone number is (702) 463-0300.

What is Brooke Wagner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brooke Wagner was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.