Minnesota Vitality and Anti-Aging Center
NPI 1598330219 · Clinic/Center · Shoreview, MN
Minnesota Vitality and Anti-Aging Center is a Clinic/Center organization in Shoreview, MN (NPI 1598330219).
Provider details
- NPI number
- 1598330219
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Manship, Co-Founder(651) 245-2454
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 25 Lake St N Ste 120Forest Lake, MN 55025-2536Phone: (651) 374-4014Fax: (651) 374-4019
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Minnesota Vitality and Anti-Aging Center's NPI number?
- Minnesota Vitality and Anti-Aging Center's National Provider Identifier (NPI) is 1598330219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Vitality and Anti-Aging Center?
- Minnesota Vitality and Anti-Aging Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minnesota Vitality and Anti-Aging Center located?
- Minnesota Vitality and Anti-Aging Center's practice location on file with NPPES is 520 Highway 96 W Ste 200, Shoreview, MN 55126-1963.
- What is Minnesota Vitality and Anti-Aging Center's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Vitality and Anti-Aging Center is (651) 374-4014.
- Who is the authorized official for Minnesota Vitality and Anti-Aging Center?
- The authorized official listed on Minnesota Vitality and Anti-Aging Center's NPPES record is Heather Manship, Co-Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Vitality and Anti-Aging Center's NPI active?
- Yes — Minnesota Vitality and Anti-Aging Center's NPI (1598330219) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.