Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shaun Robert Boyle, FNP-C

Individual provider Family Nurse Practitioner · NPI 1255205803

Mr. Shaun Robert Boyle, FNP-C is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2104 E Roosevelt Ave
Salt Lake City, UT 84108-2312
Phone: (801) 349-9908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07250443 (UT)

Record details

NPI number1255205803
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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