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General NPI Number Information
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NPI Number | 1053268441
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Entity Type | Organization
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Legal Business Name | CLEAR SKY WELLNESS, PLLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 27345 COUNTY HIGHWAY 34
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City | CALLAWAY
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State | MN
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Zip | 56521
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Country | US
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Telephone | 218-845-3535
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Fax | 218-210-9420
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Provider Business Mailing Address
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Address Line | 912 MCKINLEY AVE # 311
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City | DETROIT LAKES
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State | MN
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Zip | 56501-3504
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Country | US
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Telephone | 218-845-3535
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Fax | 218-210-9420
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHANNA NELLIE CHRISTENSEN
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Credential | DNP
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Telephone | 218-845-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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