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 is a Nurse Practitioner 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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