Individual
MINDI KAYE VANDEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- CNP
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105
(605) 322-7729
Mailing address
3901 W 59TH ST, SIOUX FALLS, SD 57108-2272
(605) 322-7729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R040975
SD
363L00000X
Nurse Practitioner
Primary
CP001237
SD
363LF0000X
Family Nurse Practitioner
CP001237
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154392249
—
SD
05
—
1376548800
—
SD
05
—
1841284262
—
SD
Enumeration date
07/14/2017
Last updated
12/20/2018
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