Individual provider · Type 1 NPI
Mandy Fredrickson
Licensed Practical Nurse · Champlin, MN
NPI number
1922928985
Active
Practice location
1207 Hillsboro Ave
Champlin, MN 55316-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 651080 (MN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Champlin
About NPI 1922928985
Mandy Fredrickson's National Provider Identifier is 1922928985, issued on Jul 20, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Champlin, MN. The record was last updated on Jul 20, 2026.