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Deva Wellness PLLC

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Company Details

Name: Deva Wellness PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Nov 2022 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4989850
Place of Formation: IDAHO
File Number: 849451
ZIP code: 83703
County: Ada County
Principal Address: TAMRA GERYK 4280 N GINZEL ST BOISE, ID 83703
Mailing Address: TAMRA GERYK 4280 N GINZEL ST BOISE, ID 83703-4214

Agent

Name Role Address
Tamra Geryk Agent 4280 N GINZEL ST, BOISE, ID 83703

Manager

Name Role Address Appointed On
Tamra Geryk Manager 4280 N GINZEL ST, BOISE, ID 83703 2023-11-22

National Provider Identifier

NPI Number:
1043055338
Certification Date:
2024-06-27

Authorized Person:

Name:
TAMRA KATHERINE GERYK
Role:
OWNER, FNP-X
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006016127 2024-12-06
Amendment to Certificate 0005788697 2024-06-25
Annual Report 0005486458 2023-11-22
Initial Filing 0004989850 2022-11-10

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State