Individual
SHANE MICHAEL BOXRZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4275 BURNHAM AVE STE 210, LAS VEGAS, NV 89119-5400
(702) 385-7669
Mailing address
1564 MISTYWOOD CT, HENDERSON, NV 89014-2692
(702) 595-0911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
858247
NV
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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