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Organization
NVELUP IDAHO CORP
Active
Organization
NVELUP IDAHO CORP
Active
Other names
NVelup Utah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY DI LELLO (PRESIDENT)
(206) 207-2950
Entity
Organization
Contact information
Practice address
3597 E MONARCH SKY LN STE 240-8464, MERIDIAN, ID 83646-1053
(206) 207-2950
Mailing address
PO BOX 7221, PETALUMA, CA 94955-7221
(415) 324-9906
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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