Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Selah Wellness Clinic LLC

Organization Nurse Practitioner · NPI 1104513126

Selah Wellness Clinic LLC provides Nurse Practitioner services in Pine City, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Northridge Ct NW
Pine City, MN 55063-5821
Phone: (320) 372-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1104513126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Keller — Vp Compliance · (320) 372-2323
NPI enumeratedApril 19, 2023
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026
Mailing address501 Main St, Sandstone, MN 55072-4410

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