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Northern Lights Health LLC

Primary Care Nurse Practitioner in Waconia, MN · enumerated 2019 · authorized official Nicole Siddons, Co-Founder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316581440

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Lights Health LLC
Practice address 212 W Lake St, Waconia, MN, 55387
Phone (920) 217-9035
Enumeration date Oct 31, 2019
Last updated in NPPES Dec 22, 2019

Taxonomy & classification

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Nicole Siddons
Title Co-Founder
Phone (920) 217-9035

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Northern Lights Health LLC located?
The practice location on file with NPPES is in Waconia, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-22.