# NVELUP IDAHO CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NVelUp New Mexico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598534620
- **Authorized official:** TROY DI LELLO (PRESIDENT)
- **Authorized official phone:** (509) 242-9202

## Contact information

- **Practice address:** 3597 E MONARCH SKY LN STE 240-8464, MERIDIAN, ID 83646-1053
- **Practice address phone:** (206) 207-2950
- **Mailing address:** PO BOX 7221, PETALUMA, CA 94955-7221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 12/29/2023