Individual
MRS. CRYSTAL LYNNIA BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4 BUCKNER AVE, FORT LEAVENWORTH, KS 66027-1208
(913) 297-0193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-97827-091
KS
163WC0400X
Case Management Registered Nurse
14-97827-091
KS
163WE0003X
Emergency Registered Nurse
Primary
14-97827-091
KS
163WG0000X
General Practice Registered Nurse
14-97827-091
KS
163WP2201X
Ambulatory Care Registered Nurse
14-97827-091
KS
Other
Enumeration date
05/31/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us