Most Relevant Information
Provider Data
| NPI Number: | 1003271412 |
| Provider Name: | SHERRY L BROADHURST NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2015044217 |
Most Important Dates
| Enumeration Date: | 12/30/2015 |
| Last Updated: | 10/12/2021 |
Provider Practice Location
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT
MO
640866011
Practice Location Phone/Fax
| Phone: | 8162464302 |
| Fax: |
Provider Mailing Location
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT
MO
640866011
Provider Mailing Phone/Fax
| Phone: | 8162464302 |
| Fax: |