Fadell, Mindy Carleen

Fadell, Mindy Carleen is an individual health care provider with primary practice located at 424 Harvard St Se , First Floor, Suite M100, Minneapolis MN 55455-0362. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fadell, Mindy Carleen can be contacted via phone (612) 625-5411.

Contact Information

Primary practice address
424 Harvard St Se , First Floor, Suite M100 Minneapolis MN 55455-0362
Phone: (612) 625-5411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R 146946-2 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R 146946-2 Minnesota

Profile Details

NPI number 1598793366
LBN Legal business name Fadell, Mindy Carleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598793366 NPPES
Minnesota Other 12-03118 MEDICA CHOICE
Minnesota Other HP49138 MEDICA CHOICE
Minnesota Other 2298999 MEDICA CHOICE
Minnesota Other 12-09026 MEDICA CHOICE
Minnesota Other 132557 MEDICA CHOICE
Minnesota Other 1042817 MEDICA CHOICE
Minnesota MEDICAID 4304352 MEDICA CHOICE

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