Manicia Shundreal Liddell, NP

NPI #1568963866 in Princeton, Minnesota

Provider Information

NPI Number
1568963866
Entity Type
Individual
Name
Manicia Shundreal Liddell, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Feb 22, 2018
Last Updated
Feb 14, 2022

Practice Location

Address
911 NORTHLAND DR
ZIP Code
55371-2172
Phone
(763) 389-1313

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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