Individual provider · Type 1 NPI
Manisha Dharmesh Shah, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Shakopee, MN
NPI number
1093361875
Active
Practice location
2008 Wilhelm Court
Shakopee, MN 55379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 6828 (MN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 6828 (MN) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Shakopee
About NPI 1093361875
Manisha Dharmesh Shah, NURSE PRACTITIONER's National Provider Identifier is 1093361875, issued on Aug 16, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Shakopee, MN. The record was last updated on Jun 26, 2023.