Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Rebecca D Church, PA

Individual provider Physician Assistant · NPI 1982033395

Miss. Rebecca D Church, PA is a Physician Assistant in Burley, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2013.

Licensed in
ID, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

382 N Overland Ave
Burley, ID 83318-3433
Phone: (208) 678-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1911 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 60491889 (WA)

Record details

NPI number1982033395
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

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