Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindfully Well LLC

Organization Registered Dietitian · NPI 1063287241

Mindfully Well LLC is a Registered Dietitian in Plymouth, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3500 Vicksburg Ln N # 113
Plymouth, MN 55447-1334
Phone: (612) 326-4049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1063287241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Hargreaves — Owner · (612) 326-4049
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address3500 Vicksburg Ln N # 113, Plymouth, MN 55447-1334

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