Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Minnesota Vitality and Anti-Aging Center

Organization Clinic/Center · NPI 1598330219

Minnesota Vitality and Anti-Aging Center is a Clinic/Center in Shoreview, Minnesota. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

520 Highway 96 W Ste 200
Shoreview, MN 55126-1963
Phone: (651) 374-4014
Fax: (651) 374-4019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Lake St N Ste 120, Forest Lake, MN 55025-2536 — (651) 374-4014

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1598330219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Manship — Co-Founder · (651) 245-2454
NPI enumeratedMay 25, 2021
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address520 Highway 96 W Ste 200, Shoreview, MN 55126-1963

Other providers in Shoreview