| Danielle Marie Carlin, CNP | |
| 
					501 Main St, Sandstone, MN 55072-4410  | |
| (320) 372-2323 | |
| Not Available | 
| Full Name | Danielle Marie Carlin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 501 Main St, Sandstone, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962946509 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4914 (Minnesota) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | CNP 4914 (Minnesota) | Primary | 
| Entity Name | Selah Wellness Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215676747 PECOS PAC ID: 5597146852 Enrollment ID: O20220718001776  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Danielle Marie Carlin, CNP Po Box 516, Sandstone, MN 55072-0516 Ph: () -  | Danielle Marie Carlin, CNP 501 Main St, Sandstone, MN 55072-4410 Ph: (320) 372-2323  | 
Christy Leah Melzark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555  | |
Shelly Anne Kuhlmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-373-2323  | |
Andrea Jean Hanson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-372-2323  | |
Sambath Cheath, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555  | |
Benjamin Vincent Deitzen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2211  | |
Heidi Jolene Voss,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 County Road 29, Sandstone, MN 55072 Phone: 320-245-6230  | |
Dr. Naomi Koenig, APRN,FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Main Street, Sandstone, MN 55072 Phone: 320-372-2323  |