| Mrs Karissa Ignaszewski, PMHNP-C | |
| 
					905 Forest Ave E, Mora, MN 55051-1624  | |
| (320) 679-6353 | |
| Not Available | 
| Full Name | Mrs Karissa Ignaszewski | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Psychiatric/mental Health | 
| Location | 905 Forest Ave E, Mora, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518222355 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | R169992-8 (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 | 
|---|---|
| Mrs Karissa Ignaszewski, PMHNP-C 905 Forest Ave E, Mora, MN 55051-1624 Ph: () -  | Mrs Karissa Ignaszewski, PMHNP-C 905 Forest Ave E, Mora, MN 55051-1624 Ph: (320) 679-6353  | 
Shayna Hamiel, DNP, APRN, CPNP-PC Registered Nurse Medicare: Medicare Enrolled Practice Location: 2117 Pine Ridge Rd S, Mora, MN 55051 Phone: 612-805-9026  | |
Debra Kay Sandberg, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1932 Plum St, Mora, MN 55051 Phone: 320-420-6639  | |
Ms. Julie A Koep, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38 Union St N, Mora, MN 55051 Phone: 320-679-1245 Fax: 763-552-1268  | |
Mary Kay Borgstrom, RN, PMHCNS-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 905 Forest Ave E Ste 150, Mora, MN 55051 Phone: 320-679-6325  |