Individual
SARAH MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 E GALA ST STE 3, MERIDIAN, ID 83642-7692
(208) 888-5848
(208) 888-0884
Mailing address
175 RIVERVIEW ST, EAGLE, ID 83616-4837
(702) 508-1615
(208) 888-0884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9494778
FL
363LF0000X
Family Nurse Practitioner
CNP61367
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP61367
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9494778
ARNP
FL
01
—
CNP61367
IDAHO STATE BOARD OF NURSING
ID
Enumeration date
08/30/2017
Last updated
11/05/2024
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