Boffeli, Shannon Lyons

Boffeli, Shannon Lyons is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001-1818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Boffeli, Shannon Lyons can be contacted via phone (928) 779-7880.

Contact Information

Primary practice address
107 E Oak Ave Flagstaff AZ 86001-1818
Phone: (928) 779-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 374115-4408 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN002370 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 291176 Arizona

Profile Details

NPI number 1861582447
LBN Legal business name Boffeli, Shannon Lyons
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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