Individual provider · Type 1 NPI
Shannon Marie Boelow
Nurse Practitioner · Reno, NV
Practice location
5590 Kietzke Ln
Reno, NV 89511-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 887854 (NV) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1225839822
Shannon Marie Boelow's National Provider Identifier is 1225839822, issued on Mar 20, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Reno, NV. The record was last updated on Mar 20, 2025.