Mrs Crystal Lynnia Broadnax, MSN, RN - Registered Nurse in Leavenworth, KS

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Mrs Crystal Lynnia Broadnax, MSN, RN is a Registered Nurse - Ambulatory Care based in Leavenworth, Kansas. Mrs Crystal Lynnia Broadnax is licensed to practice in Kansas (license number 14-97827-091) and her current practice location is 4101 S 4th St, Leavenworth, Kansas. She can be reached at her office (for appointments etc.) via phone at (913) 682-2000.

NPI number for Mrs Crystal Lynnia Broadnax is 1316149628 and her current mailing address is 4 Buckner Ave, Fort Leavenworth, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316149628.

Contact Information

Mrs Crystal Lynnia Broadnax, MSN, RN
4101 S 4th St,
Leavenworth, KS 66048-5014
(913) 682-2000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Crystal Lynnia Broadnax
GenderFemale
SpecialityRegistered Nurse - Ambulatory Care
Location4101 S 4th St, Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316149628
  • Provider Enumeration Date: 05/31/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Crystal Lynnia Broadnax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316149628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 14-97827-091 (Kansas)Primary
163WC0400XRegistered Nurse - Case Management 14-97827-091 (Kansas)Primary
163WE0003XRegistered Nurse - Emergency 14-97827-091 (Kansas)Primary
163WG0000XRegistered Nurse - General Practice 14-97827-091 (Kansas)Primary
163WP2201XRegistered Nurse - Ambulatory Care 14-97827-091 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Crystal Lynnia Broadnax is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Crystal Lynnia Broadnax, MSN, RN
4 Buckner Ave,
Fort Leavenworth, KS 66027-1208

Ph: (913) 297-0193		Mrs Crystal Lynnia Broadnax, MSN, RN
4101 S 4th St,
Leavenworth, KS 66048-5014

Ph: (913) 682-2000

Reviews and Comments


Registered Nurse Nurses in Leavenworth, KS

Cynthia Diane Sterba, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Kendra Mays, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 911-682-2000    
Pamela Malott, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St Bldg 160, Leavenworth, KS 66048
Phone: 913-682-2000    
Monica Maria Otto, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Valerie Marie Tucci,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Lorie A Mace, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Dawn Rishelle Hudson, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 711 Marshall St., Leavenworth, KS 66048
Phone: 913-684-1292    

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