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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN JOHN CHURCH, PA-C

Active

NATHAN JOHN CHURCH, PA-C is a Medical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1386635977 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOISE, ID

Registration Details

NPI Number
1386635977
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.747172241003 yrs)
Last Updated
Nov 1, 2023
Licenses
PA-266 (ID)
PA-266 (ID)

Practice Information

Address
6052 W STATE ST
BOISE, ID, 837032739
Browse ID providers · Browse ZIP 83703
Phone
2083447799
Fax
2083447152
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BOISE, ID

Name Credential NPI
MARSHALL GARDNER PA-C 1316943343
JESSICA ANNE BRIGGS PA-C 1053311084
BRADY G HAMILTON PA-C 1245221258
MRS. JENNIFER M FEIRSTEIN PA-C 1073599106
ROBERT E SHUMAKER PA 1902867849
CHRISTINE M. HALL P.A.-C 1366494650
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.