Search › Idaho › 363LA2100X
Nathan Burke, ACNPC-AG
NPI 1558074955 · on the registry since 2022 · sole proprietor
Practice
- Address
- 287 W Jefferson St
Boise, ID 83702 - Phone
- (208) 322-1680
- Fax
- (208) 385-7708
- Clinicians at this address
- 18
Additional practice sites
- 2730 Channing Way, Idaho Falls, ID
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho