Individual
IVAN BELLEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13500 PLEASANT VLY RD, KUNA, ID 83634-2709
(208) 424-3726
Mailing address
13500 PLEASANT VLY RD, KUNA, ID 83634-2709
(208) 424-3726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2181404
ID
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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