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Manicia Shundreal Liddell, NP
Nurse Practitioner in Princeton, Minnesota
NPI 1568963866

Manicia Shundreal Liddell is a Nurse Practitioner based in Princeton, MN. Manicia Shundreal Liddell practices in Princeton, MN and has the professional credentials of NP. The NPI Number for Manicia Shundreal Liddell is 1568963866 and holds a License No. LIDD-8T8QP1 (Minnesota).

The current practice location address for Manicia Shundreal Liddell is 911 Northland Dr, Princeton, MN and can be reached out via phone at 763-389-1313.

Location: 911 Northland Dr, Princeton, MN, 55371-2172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568963866
Provider Name
Manicia Shundreal Liddell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
911 Northland Dr, Princeton, MN, 55371-2172
Phone Number
763-389-1313
Fax Number
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LIDD-8T8QP1 01 MS ADVANCED NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
911 Northland Dr
City
Princeton
State
Minnesota
Zip
55371-2172
Phone Number
763-389-1313
Fax Number
person
Provider Business Mailing Address Details
Address
911 Northland Dr
City
Princeton
State
Minnesota
Zip
55371-2172
Phone Number
763-389-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
LIDD-8T8QP1 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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