Leona Jo'Anne' Church in Boise - Pediatrics
Leona Jo'Anne' Church - NPI 1073675617
Leona Jo'Anne' Church is a Pediatrics in Boise, Idaho. Leona Jo'Anne' Church practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Leona Jo'Anne' Church is 1073675617. The last update date is 2009-04-23.
Leona Jo'Anne' Church's current location address is 1655 W Fairview Ave Ste 206, Boise, Idaho. You can contact this provider via phone number 2083950000 and fax number 2083950009. The mailing address for Leona Jo'Anne' Church is 1655 W Fairview Ave Ste 206, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leona Jo'Anne' Church |
|---|---|
| Address | 1655 W Fairview Ave Ste 206, Boise, Idaho |
| Phone Number | 2083950000 |
| Fax Number | 2083950009 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1073675617 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2009-04-23 |
Provider Mailing Address Detail
| Address | 1655 W Fairview Ave Ste 206 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837025190 |
| Phone Number | 2083950000 |
| Fax Number | 2083950009 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | NP-157A |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805703400 | ID | -- |
Post Comment/ Review Below
What is the Leona Jo'Anne' Church's 1073675617?
The Leona Jo'Anne' Church's NPI (National Provider Identifier) Number is 1073675617. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leona Jo'Anne' Church?
The Leona Jo'Anne' Church is situated at 1655 W Fairview Ave Ste 206, in the city of Boise, state of ID, with the zip code 837025190.
What is Leona Jo'Anne' Church's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leona Jo'Anne' Church's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Leona Jo'Anne' Church receive its 1073675617 assignment from the Centers for Medicare & Medicaid Services?
The Leona Jo'Anne' Church was assigned its 1073675617 by the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date was the information regarding Leona Jo'Anne' Church, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leona Jo'Anne' Church, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-23.
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