Individual
MANISHA DHARMESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2008 WILHELM COURT, SHAKOPEE, MN 55379
(952) 457-4502
Mailing address
2008 WILHELM COURT, SHAKOPEE, MN 55379
(952) 457-4502
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
6828
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
6828
MN
Other
Enumeration date
08/16/2019
Last updated
06/26/2023
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