Mcbroom, Leesa Annette

Mcbroom, Leesa Annette is an individual health care provider with primary practice located at 9406 E 63Rd St , Raytown MO 64133-4904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcbroom, Leesa Annette can be contacted via phone (816) 356-1000.

Contact Information

Primary practice address
9406 E 63Rd St Raytown MO 64133-4904
Phone: (816) 356-1000
Fax: (816) 356-9220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 13359 Missouri

Profile Details

NPI number 1346252368
LBN Legal business name Mcbroom, Leesa Annette
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 25th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346252368 NPPES
Missouri MEDICAID 242849503

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