Shannon Lyons Boffeli in Flagstaff - Nurse Practitioner
Shannon Lyons Boffeli - NPI 1861582447
Shannon Lyons Boffeli is a Nurse Practitioner in Flagstaff, Arizona. Shannon Lyons Boffeli practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shannon Lyons Boffeli is 1861582447. The last update date is 2023-08-22.
Shannon Lyons Boffeli's current location address is 107 E Oak Ave, Flagstaff, Arizona. You can contact this provider via phone number 9287797880. The mailing address for Shannon Lyons Boffeli is 107 E Oak Ave, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Lyons Boffeli |
|---|---|
| Address | 107 E Oak Ave, Flagstaff, Arizona |
| Phone Number | 9287797880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1861582447 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 107 E Oak Ave |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860011818 |
| Phone Number | 9287797880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 374115-4408 |
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Definition: (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 certifi |
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What is the unique 10-digit identifier code assigned to Shannon Lyons Boffeli by the Centers for Medicare & Medicaid Services?
The Shannon Lyons Boffeli has been issued the NPI (National Provider Identifier) 1861582447 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shannon Lyons Boffeli is located?
The Shannon Lyons Boffeli is situated at the following address: 107 E Oak Ave, Flagstaff, AZ, 860011818.
What is the Shannon Lyons Boffeli's specialty and taxonomy code?
The Shannon Lyons Boffeli's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Shannon Lyons Boffeli receive the assignment of its 1861582447 from the Centers for Medicare & Medicaid Services?
The Shannon Lyons Boffeli was issued its 1861582447 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the Shannon Lyons Boffeli's details last updated?
The information pertaining to the Shannon Lyons Boffeli, including its address, specialty, and other details, was most recently updated on 2023-08-22.
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