Healthcare Provider Details

I. General information

NPI: 1932071958
Provider Name (Legal Business Name): A&N WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3953 4TH ST E
WEST FARGO ND
58078-2865
US

IV. Provider business mailing address

3953 4TH ST E
WEST FARGO ND
58078-2865
US

V. Phone/Fax

Practice location:
  • Phone: 701-809-4954
  • Fax:
Mailing address:
  • Phone: 701-532-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NAOMI MICHEL
Title or Position: TRAUMA THERAPIST/CO-OWNER
Credential: LCSW, LICSW
Phone: 701-532-2683