Individual provider · Type 1 NPI
Samuel Hally, NP
Family Nurse Practitioner · Middleton, ID
NPI number
1982210795
Active
Practice location
1346 Cimarron Ct
Middleton, ID 83644-5894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 65699 (ID) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Middleton
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- Rebecca Ann Swainston, MS FNP-CFamily Nurse Practitioner Middleton, ID NPI 1508201757
- Erin Keller, FNPFamily Nurse Practitioner Middleton, ID NPI 1669556908
About NPI 1982210795
Samuel Hally, NP's National Provider Identifier is 1982210795, issued on Sep 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middleton, ID. The record was last updated on Sep 17, 2020.