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

Mandy Fredrickson

Individual provider Licensed Practical Nurse · NPI 1922928985

Mandy Fredrickson is a Licensed Practical Nurse in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1207 Hillsboro Ave
Champlin, MN 55316-1913
Phone: (612) 747-3014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 651080 (MN)

Record details

NPI number1922928985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address1207 Hillsboro Ave, Champlin, MN 55316-1913

Other providers in Champlin