Sherry L Broadhurst
Nurse Practitioner
120 Ne Saint Lukes Blvd Ste 200
Lees Summit
, Missouri 64086-6011
Sherry L Broadhurst
Nurse Practitioner
120 Ne Saint Lukes Blvd Ste 200
Lees Summit
, Missouri 64086-6011
(816) 246-4302
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Sherry L Broadhurst
- 120 Ne Saint Lukes Blvd Ste 200
- Lees Summit, MO
- Zip : 64086-6011
- Phone : (816) 246-4302
Second Address
- Sherry L Broadhurst
- 120 Ne Saint Lukes Blvd Ste 200
- Lees Summit, MO
- Zip : 64086-6011
- Phone : (816) 246-4302
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2015044217 | MO |
National Provider Identifier
| NPI | 1003271412 |
|---|---|
| Provider Name | Sherry L Broadhurst |
| First Address | Lees Summit, MO 64086-6011 |
| Second Address | Lees Summit, MO 64086-6011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2015 |
| Last Update Date | 12/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.