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 / Emergency 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:
Health care specialties
| Specialty | Code | License # | 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 | Sep 11th, 2025 - about last year |
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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