| Mindfully Well Llc | |
|
3500 Vicksburg Ln N # 113, Plymouth, MN 55447-1334 | |
| (612) 326-4049 | |
| Not Available |
| Full Name | Mindfully Well Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3500 Vicksburg Ln N # 113, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063287241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Samantha Rose Hargreaves |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033763123 PECOS PAC ID: 6901310424 Enrollment ID: I20250708002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Well Llc 3500 Vicksburg Ln N # 113, Plymouth, MN 55447-1334 Ph: (612) 326-4049 | Mindfully Well Llc 3500 Vicksburg Ln N # 113, Plymouth, MN 55447-1334 Ph: (612) 326-4049 |
Samantha Rose Hargreaves, MPH, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3500 Vicksburg Ln N # 113, Plymouth, MN 55447 Phone: 612-326-4049 |
Mrs. Lauren Ashley Schultheis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2905 Northwest Blvd Ste 230, Plymouth, MN 55441 Phone: 763-200-1121 |
Haley Miskowiec, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15140 8th Ave N, Plymouth, MN 55447 Phone: 612-812-9596 |
Janelle Fuchs, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 115, Plymouth, MN 55441 Phone: 763-577-7800 Fax: 763-577-7855 |
Minnesota Oncology Hematology Pa Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 110, Plymouth, MN 55446 Phone: 763-519-7440 Fax: 763-519-7445 |
Gwenda Lyn Hill, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 15655 37th Ave N, Suite 100, Plymouth, MN 55446 Phone: 763-587-7900 Fax: 763-587-7701 |
Tara The Rd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12735 42nd Pl N, Plymouth, MN 55442 Phone: 320-808-5353 |