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

Manisha Dharmesh Shah, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1093361875

Manisha Dharmesh Shah, NURSEPRACTITIONER is a Gerontology Nurse Practitioner in Shakopee, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2008 Wilhelm Ct
Shakopee, MN 55379
Phone: (952) 457-4502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 6828 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 6828 (MN)

Record details

NPI number1093361875
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address2008 Wilhelm Court, Shakopee, MN 55379