Broadnax, Crystal Lynnia

Broadnax, Crystal Lynnia is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management, Nursing Service Providers / Emergency, Nursing Service Providers / General Practice, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Registered Nurse is her primary health care specialty. Broadnax, Crystal Lynnia can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 14-97827-091 Kansas
Nursing Service Providers / Case Management 163WC0400X 14-97827-091 Kansas
Nursing Service Providers / Emergency 163WE0003X 14-97827-091 Kansas
Nursing Service Providers / General Practice 163WG0000X 14-97827-091 Kansas
Nursing Service Providers / Ambulatory Care 163WP2201X 14-97827-091 Kansas

Profile Details

NPI number 1316149628
LBN Legal business name Broadnax, Crystal Lynnia
Credentials MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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