Provider Demographics
NPI:1992212294
Name:BROIN, LINDSEY GLEED (APRN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:GLEED
Last Name:BROIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2370
Mailing Address - Country:US
Mailing Address - Phone:785-623-5591
Mailing Address - Fax:
Practice Address - Street 1:801 LOCUST ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:KS
Practice Address - Zip Code:67548-9673
Practice Address - Country:US
Practice Address - Phone:785-222-2564
Practice Address - Fax:785-222-2629
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily