# MINDI KAYE VANDEKAMP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235651837
- **Gender:** F
- **Credential:** APRN- CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R040975 | SD | — |
| 363L00000X | Nurse Practitioner | CP001237 | SD | Yes |
| 363LF0000X | Family Nurse Practitioner | CP001237 | SD | — |

## Other

- **Enumeration date:** 07/14/2017
- **Last updated:** 12/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154392249 | — | SD |
| 05 | — | 1376548800 | — | SD |
| 05 | — | 1841284262 | — | SD |