Organization · Type 2 NPI
Selah Wellness Clinic LLC
Nurse Practitioner · Pine City, MN
Practice location
1300 Northridge Ct NW
Pine City, MN 55063-5821
Mailing address
501 Main St
Sandstone, MN 55072-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1104513126
Selah Wellness Clinic LLC's National Provider Identifier is 1104513126, issued on Apr 19, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pine City, MN. The record was last updated on May 31, 2026.