Broadbent, Terry Lee
Broadbent, Terry Lee is an individual health care provider with primary practice located at 3901 Rainbow Blvd Department Of Nursing, Kansas City KS 66160-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Broadbent, Terry Lee can be contacted via phone (913) 588-7832.Contact Information
Primary practice address
3901 Rainbow Blvd Department Of Nursing
Kansas City KS 66160-0001
Phone: (913) 588-7832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 45612 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13-69014-121 | Kansas |
Profile Details
| NPI number | 1972708493 |
|---|---|
| LBN Legal business name | Broadbent, Terry Lee |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972708493 | NPPES |
| Kansas | Other | 45612 | ARNP LICENSE |
| Kansas | Other | 13-69014-121 | ARNP LICENSE |
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