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Dr. Leona Jo'anne' Church, CPNP
Pediatric Nurse Practitioner in Boise, Idaho
NPI 1073675617

Leona Jo'anne' Church is a Pediatric Nurse Practitioner based in Boise, ID and is specialized in Pediatrics. Leona Jo'anne' Church practices in Boise, ID and has the professional credentials of CPNP. The NPI Number for Leona Jo'anne' Church is 1073675617 and holds a License No. NP-157A (Idaho).

The current practice location address for Leona Jo'anne' Church is 1655 W Fairview Ave Ste 206, Boise, ID and can be reached out via phone at 208-395-0000 and via fax at 208-395-0009.

Location: 1655 W Fairview Ave Ste 206, Boise, ID, 83702-5190
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Provider Profile Details
NPI Number
1073675617
Provider Name
Leona Jo'anne' Church
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1655 W Fairview Ave Ste 206, Boise, ID, 83702-5190
Phone Number
208-395-0000
Fax Number
208-395-0009
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805703400 05 ID
institution
Provider Business Practice Location Address Details
Address
1655 W Fairview Ave Ste 206
City
State
Zip
83702-5190
Phone Number
208-395-0000
Fax Number
208-395-0009
person
Provider Business Mailing Address Details
Address
1655 W Fairview Ave Ste 206
City
State
Zip
83702-5190
Phone Number
208-395-0000
Fax Number
208-395-0009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
NP-157A (Idaho)
Definition
Definition to come...
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