Individual
LESLYN QUICK BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
(816) 799-4135
Mailing address
6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
(816) 799-4135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
113747
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75533-061
KS
Other
Enumeration date
10/01/2007
Last updated
03/20/2015
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