Broad, Leslie S. L.

Broad, Leslie S. L. is an sole proprietor health care provider with primary practice located at 6 Sandpiper Pl , Superior WI 54880-5390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broad, Leslie S. L. can be contacted via phone (715) 817-8834.

Contact Information

Primary practice address
6 Sandpiper Pl Superior WI 54880-5390
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1727748 Minnesota

Profile Details

NPI number 1437451994
LBN Legal business name Broad, Leslie S. L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2010
Last updated Oct 27th, 2014 - about 12 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.

Request for update

Popular Providers