NPI age
20 years
Enumerated 2005-11-02
● Active
Type 1 · Individual
Nathan John Church, PA-C
Church is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
6052 W State St
Boise, ID 837032739
Mailing address
6052 W State St
Boise, ID 837032739
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PA-266 | STATE LISCENSE |
| 01 (OR) | PA00678 | OR STATE LISCENSE |
Practice context
Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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