Dr Leona Jo'anne' Church, CPNP - Nurse Practitioner in Boise, ID

Dr Leona Jo'anne' Church, CPNP is a Nurse Practitioner - Pediatrics based in Boise, Idaho. Dr Leona Jo'anne' Church is licensed to practice in Idaho (license number NP-157A) and her current practice location is 1655 W Fairview Ave Ste 206, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 395-0000.

NPI number for Dr Leona Jo'anne' Church is 1073675617 and her current mailing address is 1655 W Fairview Ave Ste 206, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073675617.

Contact Information

Dr Leona Jo'anne' Church, CPNP
1655 W Fairview Ave Ste 206,
Boise, ID 83702-5190
(208) 395-0000
(208) 395-0009

Map and Direction




Provider's Profile

Full NameDr Leona Jo'anne' Church
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1655 W Fairview Ave Ste 206, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073675617
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 04/23/2009

Medical Identifiers

Medical identifiers for Dr Leona Jo'anne' Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073675617NPI-NPPES
805703400MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics NP-157A (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leona Jo'anne' Church is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leona Jo'anne' Church, CPNP
1655 W Fairview Ave Ste 206,
Boise, ID 83702-5190

Ph: (208) 395-0000
Dr Leona Jo'anne' Church, CPNP
1655 W Fairview Ave Ste 206,
Boise, ID 83702-5190

Ph: (208) 395-0000

Reviews and Comments


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