Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manicia Shundreal Liddell, NP

Individual provider Nurse Practitioner · NPI 1568963866

Manicia Shundreal Liddell, NP is a Nurse Practitioner in Princeton, Minnesota. Qualified in 2025, 1 year ago. Practices with New York Medical Physician Associates PC, a 207-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana, Minnesota, Mississippi and New York.

Years since qualifying
1
Licensed in
LA, MN, MS, NY
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

911 Northland Dr
Princeton, MN 55371-2172
Phone: (763) 389-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Hospital Dr, Utica, NY 13502-2517 — (315) 917-9966

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8995 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 200056 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 347087 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence LIDD-8T8QP1 (MS)

Record details

NPI number1568963866
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice New York Medical Physician Associates Pc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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