Provider Demographics
NPI:1285871277
Name:LINDELL, SANDRA ROSWITHA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ROSWITHA
Last Name:LINDELL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8609 LYNDALE AVE S
Mailing Address - Street 2:SUITE 201-C
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420
Mailing Address - Country:US
Mailing Address - Phone:651-285-2144
Mailing Address - Fax:
Practice Address - Street 1:700 SLEATER KINNEY RD SW CENTER OF MINDFUL HEALING
Practice Address - Street 2:STE B-169
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503
Practice Address - Country:US
Practice Address - Phone:360-972-7855
Practice Address - Fax:360-282-1095
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR1676611363LP0808X
MNNP1682363LP0808X
WAAP61135817363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health