Individual provider · Type 1 NPI

Shady Boules, NP

Psychiatric/Mental Health Nurse Practitioner · Riverside, CA

NPI number 1497123517 Active

Practice location

16282 Skyridge Dr
Riverside, CA 92503-0562

Call (951) 722-0802 Map

Other practice locations

  • 4695 Macarthur Ct Ste 1100, Newport Beach, CA 92660-1866 · (949) 293-3440

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95037846 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1497123517

Shady Boules, NP's National Provider Identifier is 1497123517, issued on Sep 4, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverside, CA. The record was last updated on Dec 25, 2025.