Minnesota Vitality and Anti-Aging Center

NPI #1598330219 in Shoreview, Minnesota

Provider Information

NPI Number
1598330219
Entity Type
Organization
Organization Name
Minnesota Vitality and Anti-Aging Center
Primary Specialty
Clinic/Center
Enumeration Date
May 25, 2021
Last Updated
Jun 24, 2025

Practice Location

Address
520 HIGHWAY 96 W STE 200
ZIP Code
55126-1963
Phone
(651) 374-4014

Authorized Official

Name
HEATHER MANSHIP
Title
CO-FOUNDER
Phone
(651) 245-2454

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Women's HealthWomen's Health
Clinic/Center

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