CRYSTAL LYNNIA BROADNAX

LEAVENWORTH, KS
NPI1316149628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  14-97827-091)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: KS  14-97827-091)
163WE0003X Registered Nurse, Emergency
(Licence: KS  14-97827-091)
163WG0000X Registered Nurse, General Practice
(Licence: KS  14-97827-091)
163WP2201X Registered Nurse, Ambulatory Care
(Licence: KS  14-97827-091)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Mrs. CRYSTAL LYNNIA BROADNAX MSN, RN
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
Mailing Address
Mrs. CRYSTAL LYNNIA BROADNAX MSN, RN
4 BUCKNER AVE
FORT LEAVENWORTH, KS 66027-1208
Phone number: 913-297-0193