Provider Demographics
NPI:1447024310
Name:BROOKS, KALENA KIMBERLY (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KALENA
Middle Name:KIMBERLY
Last Name:BROOKS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:KALENA
Other - Middle Name:KIMBERLY
Other - Last Name:WAINWRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, PMHNP-BC
Mailing Address - Street 1:7883 SABER TOOTH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1707
Mailing Address - Country:US
Mailing Address - Phone:702-752-9806
Mailing Address - Fax:
Practice Address - Street 1:8950 W TROPICANA AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8138
Practice Address - Country:US
Practice Address - Phone:702-790-2701
Practice Address - Fax:702-790-2706
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV827296163WP0808X, 364SP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health