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Organization

NVELUP IDAHO CORP

Active
Other names
NVelUp New Mexico
Organization subpart
No

Provider details

NPI number
Authorized official
TROY DI LELLO (PRESIDENT)
(509) 242-9202
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

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary

Other

Enumeration date
12/29/2023
Last updated
12/29/2023
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