IndividualActive
Leona Church, CPNP
NPI 1073675617 · Pediatric Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1073675617
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- NP-157A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1655 W Fairview Ave Ste 206
Boise, ID 83702-5190
Phone: (208) 395-0000
Fax: (208) 395-0009
Approximate (ZIP-level) locationGet directions
Mailing address
1655 W Fairview Ave Ste 206
Boise, ID 83702-5190
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2009-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.