Individual
AMOS HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
520 S EAGLE RD STE 1222, MERIDIAN, ID 83642-6355
(208) 947-2266
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1429A
ID
Other
Enumeration date
05/23/2014
Last updated
03/08/2022
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