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

Stephanie Tally, RN

Individual provider Registered Nurse · NPI 1265171300

Stephanie Tally, RN is a Registered Nurse in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

18111 Wagner Rd
Caldwell, ID 83607-9215
Phone: (208) 989-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 15301 (ID)

Record details

NPI number1265171300
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address18111 Wagner Rd, Caldwell, ID 83607-9215

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