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

Samuel Hally, NP

Individual provider Family Nurse Practitioner · NPI 1982210795

Samuel Hally, NP is a Family Nurse Practitioner in Middleton, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1346 Cimarron Ct
Middleton, ID 83644-5894
Phone: (208) 695-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 65699 (ID)

Record details

NPI number1982210795
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address1346 Cimarron Ct, Middleton, ID 83644-5894

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