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

Northern Lights Health LLC

Organization Acute Care Nurse Practitioner · NPI 1316581440

Northern Lights Health LLC is an Acute Care Nurse Practitioner in Waconia, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

212 W Lake St
Waconia, MN 55387-1014
Phone: (920) 217-9035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1316581440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Siddons — Co-Founder · (920) 217-9035
NPI enumeratedOctober 31, 2019
Last updated in NPPESDecember 22, 2019
Certification dateDecember 22, 2019
Mailing address212 W Lake St, Waconia, MN 55387-1014