Individual
HALEY HALLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6291 MAIN ST, BONNERS FERRY, ID 83805-8518
(208) 267-0134
(208) 561-7865
Mailing address
PO BOX V, BONNERS FERRY, ID 83805-1286
(208) 267-0134
(208) 561-7865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA1391
ID
363A00000X
Physician Assistant
Primary
PA1291
ID
363A00000X
Physician Assistant
Primary
PA1391
ID
Other
Enumeration date
10/23/2012
Last updated
05/27/2026
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