Samuel Hally, NP

NPI #1982210795 in Middleton, Idaho

Provider Information

NPI Number
1982210795
Entity Type
Individual
Name
Samuel Hally, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Sep 17, 2020
Last Updated
Sep 17, 2020

Practice Location

Address
1346 CIMARRON CT
State
Idaho
ZIP Code
83644-5894
Phone
(208) 695-8001

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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