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DR. LEONA JO'ANNE' CHURCH CPNP
NPI 1073675617
Nurse Practitioner - Pediatrics in Boise, ID

Active since December 13, 2006
1655 W FAIRVIEW AVE STE 206, BOISE, ID 83702(208) 395-0000(208) 395-0009 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leona Jo'anne' Church Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONA JO'ANNE' CHURCH CPNP (NPI 1073675617) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (NP-157A) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073675617
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. LEONA JO'ANNE' CHURCHCredential: CPNP
Location Address1655 W FAIRVIEW AVE STE 206Boise, ID 83702-5190
Mailing Address1655 W Fairview Ave Ste 206Boise, ID 83702-5190 · (208) 395-0000 · Fax (208) 395-0009
Phone(208) 395-0000
Fax(208) 395-0009
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 23, 2009
✔ NPI 1073675617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ID · NP-157A
1655 W FAIRVIEW AVE STE 206, Boise, ID 83702
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Other Identifiers 3

Medicare ID-Type Unspecified1344916ID
Medicare UPINS99759ID
Medicaid805703400ID

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH END CHILDREN'S HEALTH CLINIC
Clinic/Center (Health Service)
1655 W FAIRVIEW AVE STE 206
BOISE, ID 83702
Ada County (208) 395-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leona Church's NPI number?

The NPI number for Leona Church is 1073675617. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Leona Church located?

Leona Church practices at 1655 W Fairview Ave Ste 206, Boise, ID 83702. The listed phone number is (208) 395-0000.

What is Leona Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Leona Church was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.