Organization
MELIORA DIRECT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY S RICCELLI NP (OWNER/NURSE PRACTITIONER)
(720) 317-9460
Entity
Organization
Contact information
Practice address
10290 S PROGRESS WAY STE 208, PARKER, CO 80134-9056
(303) 317-3088
(877) 268-5001
Mailing address
488 PAWLING AVE, TROY, NY 12180-5832
(720) 317-9460
(877) 268-5001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573324
—
CO
Enumeration date
04/13/2020
Last updated
09/06/2023
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