Most Relevant Information
Provider Data
| NPI Number: | 1003658881 |
| Provider Name: | HALLE STUTTING DNP, PNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 10024689 |
Most Important Dates
| Enumeration Date: | 06/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
840 SW 4TH AVE STE 105
ONTARIO
OR
979142638
Practice Location Phone/Fax
| Phone: | 5418812800 |
| Fax: |
Provider Mailing Location
17030 ELMCREST DR
CALDWELL
ID
836078822
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |