Stephanie Tally, RN

NPI #1265171300 in Caldwell, Idaho

Provider Information

NPI Number: 1265171300
Entity Type: Individual
Name: Stephanie Tally, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: May 27, 2022
Last Updated: May 27, 2022

Practice Location

Address: 18111 WAGNER RD
City: Caldwell
State: Idaho
ZIP Code: 83607-9215
Phone: (208) 989-5312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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