Selah Wellness Clinic LLC

NPI #1104513126 in Pine City, Minnesota

Provider Information

NPI Number
1104513126
Entity Type
Organization
Organization Name
Selah Wellness Clinic LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 19, 2023
Last Updated
Jan 4, 2026

Practice Location

Address
1300 NORTHRIDGE CT NW
ZIP Code
55063-5821
Phone
(320) 372-2323

Authorized Official

Name
TINA KELLER
Title
VP COMPLIANCE
Phone
(320) 372-2323

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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