Individual
HALLE STUTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PNP-PC
Contact information
Practice address
840 SW 4TH AVE STE 105, ONTARIO, OR 97914-2638
(541) 881-2800
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10024689
OR
363LP0200X
Pediatric Nurse Practitioner
4861460
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500842663
—
OR
Enumeration date
06/11/2024
Last updated
01/14/2026
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