Crystal Lynnia Broadnax in Leavenworth - Ambulatory Care
Crystal Lynnia Broadnax - NPI 1316149628
Crystal Lynnia Broadnax is a Ambulatory Care in Leavenworth, Kansas. Crystal Lynnia Broadnax practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Crystal Lynnia Broadnax is 1316149628. The last update date is 2007-07-08.
Crystal Lynnia Broadnax's current location address is 4101 S 4th St, Leavenworth, Kansas. You can contact this provider via phone number 9136822000. The mailing address for Crystal Lynnia Broadnax is 4101 S 4th St, Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Crystal Lynnia Broadnax |
---|---|
Address | 4101 S 4th St, Leavenworth, Kansas |
Phone Number | 9136822000 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSN, RN |
NPI Number Detail
NPI Number | 1316149628 |
---|---|
Provider Enumeration Date | 2007-05-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4101 S 4th St |
---|---|
City | Leavenworth |
State | Kansas (KS) |
Post Code | 660485014 |
Phone Number | 9136822000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Care |
---|---|
Taxonomy | 163Wp2201X |
Licence No | 14-97827-091 |
Definition: A registered nurse who provides care in outpatient settings. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Crystal Lynnia Broadnax by the Centers for Medicare & Medicaid Services?
The Crystal Lynnia Broadnax has been assigned the NPI (National Provider Identifier) 1316149628 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Crystal Lynnia Broadnax?
The Crystal Lynnia Broadnax is situated at 4101 S 4Th St, in the city of Leavenworth, state of KS, with the zip code 660485014.
What is Crystal Lynnia Broadnax's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crystal Lynnia Broadnax is Ambulatory Care, and the taxonomy code that categorizes this field of expertise is 163Wp2201X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316149628 to Crystal Lynnia Broadnax?
The Centers for Medicare & Medicaid Services originally issued the 1316149628 to Crystal Lynnia Broadnax on 2007-05-31.
When was the information regarding Crystal Lynnia Broadnax, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Crystal Lynnia Broadnax, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.