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Samuel Hally, NP
Family Nurse Practitioner in Middleton, Idaho
NPI 1982210795

Samuel Hally is a Family Nurse Practitioner based in Middleton, ID and is specialized in Family. Samuel Hally practices in Middleton, ID and has the professional credentials of NP. The NPI Number for Samuel Hally is 1982210795 and holds a License No. 65699 (Idaho).

The current practice location address for Samuel Hally is 1346 Cimarron Ct, Middleton, ID and can be reached out via phone at 208-695-8001.

Location: 1346 Cimarron Ct, Middleton, ID, 83644-5894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982210795
Provider Name
Samuel Hally
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1346 Cimarron Ct, Middleton, ID, 83644-5894
Phone Number
208-695-8001
Fax Number
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1346 Cimarron Ct
City
Middleton
State
Idaho
Zip
83644-5894
Phone Number
208-695-8001
Fax Number
person
Provider Business Mailing Address Details
Address
1346 Cimarron Ct
City
Middleton
State
Idaho
Zip
83644-5894
Phone Number
208-695-8001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
65699 (Idaho)
Definition
Definition to come...
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