Organization · Type 2 NPI

Selah Wellness Clinic LLC

Nurse Practitioner · Forest Lake, MN

NPI number 1447160155 Active

Practice location

255 Highway 97 Unit 1A
Forest Lake, MN 55025-2687

Fax (833) 651-2526

Mailing address

501 Main St
Sandstone, MN 55072-4410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone 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 1447160155

Selah Wellness Clinic LLC's National Provider Identifier is 1447160155, issued on Sep 8, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Forest Lake, MN. The record was last updated on Sep 8, 2026.