Mandy Fredrickson
Licensed Practical Nurse · Champlin, MN
Practice location
1207 Hillsboro AveChamplin, MN 55316-1913
- Phone
- (612) 747-3014
NPI record
- NPI
- 1922928985
- Entity type
- Individual (Type 1)
- Enumeration date
- July 20, 2026
- Last updated
- July 20, 2026
- Certified
- July 20, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
651080 | MN |
About Mandy Fredrickson
Mandy Fredrickson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1207 Hillsboro Ave, Champlin, MN 55316-1913. The NPI number 1922928985 was assigned on July 20, 2026 and the record was last updated on July 20, 2026.
Mandy Fredrickson lists a license in the registry: #651080 (MN) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mandy Fredrickson?
The NPI number is 1922928985.
What is the phone number of Mandy Fredrickson?
The phone number listed for the practice location is (612) 747-3014.
Where is Mandy Fredrickson located?
1207 Hillsboro Ave, Champlin, MN 55316-1913.
What is the taxonomy code for Mandy Fredrickson?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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