Individual
SHELLY LYNN BOUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 S MARYLAND PKWY STE 1, LAS VEGAS, NV 89104-3106
(702) 331-3650
Mailing address
6725 PAPYRUS CIR, LAS VEGAS, NV 89107-2481
(702) 445-3315
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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