Manicia Shundreal Liddell is a Princeton, Minnesota based nurse practitioner with 7 years of experience in . She completed her graduation in 2017. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Manicia Shundreal Liddell is 8995 in Minnesota. Her current practice location is 911 Northland Dr, Princeton. Patients can reach her at 763-389-1313. Manicia Shundreal Liddell is NP and her NPI number (Unique professional ID assigned by NPPES) is 1568963866. Manicia Shundreal Liddell has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Manicia Shundreal Liddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3779829908
Enrollment ID:
I20190109001905
NPI Number:
1568963866
NPI Enumeration Date:
22 Feb, 2018
NPI Last Update On:
14 Feb, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Manicia Shundreal Liddell are as mentioned below.
License Number
Specialization
State
Status
8995
Minnesota
Primary
LIDD-8T8QP1
Nurse Practitioner
Mississippi
Secondary
200056
Nurse Practitioner
Louisiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(190176)
New orleans, LA
Acute Care Hospital
(190036)
New orleans, LA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Manicia Shundreal Liddell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Belle Chasse Physician Services Llc (9335379379)
94
Gulfsouth Hospital Medicine Llc (6901151984)
24
Other Medical Identifiers:
Other legacy medical identifiers associated with Manicia Shundreal Liddell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
LIDD-8T8QP1
Other
Mississippi
ADVANCED NURSING LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.