IndividualActive
Nathan Burke, ACNPC-AG
NPI 1558074955 · Acute Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1558074955
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- Yes
- License
- 70954 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
287 W Jefferson St
Boise, ID 83702-6045
Phone: (208) 322-1680
Fax: (208) 385-7708
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 2730 Channing WayIdaho Falls, ID 83404-5049Phone: (208) 542-7100
Registry dates
- Enumerated
- 2022-12-30
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.