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Individual
MINDY CARLEEN FADELL
Active
Individual
MINDY CARLEEN FADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 146946-2
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
R 146946-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042817
PREFERRED ONE
MN
01
—
12-03118
MEDICA CHOICE
MN
01
—
12-09026
MEDICA PRIMARY
MN
01
—
132557
UCARE
MN
01
—
2298999
ARAZ
MN
05
—
4304352
—
MT
01
—
HP49138
HEALTHPARTNERS
MN
Enumeration date
06/29/2006
Last updated
09/11/2025
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