Individual provider · Type 1 NPI

Shannon Lyons Boffeli, APRN

Nurse Practitioner · Flagstaff, AZ

NPI number 1861582447 Active

Practice location

107 E Oak Ave
Flagstaff, AZ 86001-1818

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Other practice locations

  • 590 Wakara Way, Salt Lake City, UT 84108-1200 · (801) 587-7100
  • 2231 W. Charleston Blvd, Las Vegas, NV 89102 · (702) 383-2662

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X374115-4408 (UT)
Nurse Practitioner 363L00000XAPRN002370 (NV)
Nurse Practitioner Primary 363L00000X291176 (AZ)

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 1861582447

Shannon Lyons Boffeli, APRN's National Provider Identifier is 1861582447, issued on Oct 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 22, 2023.