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DR. SURVIVAL DAMARIS MANDIEKA DNP, APRN,CNP
NPI 1336775782
Nurse Practitioner - Family in Shakopee, MN

Active since March 18, 2020
1816 GRANITE DR, SHAKOPEE, MN 55379(612) 298-8044 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Survival Damaris Mandieka Dnp, Aprn,cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SURVIVAL DAMARIS MANDIEKA DNP, APRN,CNP (NPI 1336775782) is an individual family provider in Shakopee, Minnesota, licensed in Minnesota (0000000000) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1336775782
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SURVIVAL DAMARIS MANDIEKACredential: DNP, APRN,CNP
Location Address1816 GRANITE DRShakopee, MN 55379-2900
Mailing Address1816 Granite DrShakopee, MN 55379-2900 · (612) 298-8044
Phone(612) 298-8044
Sole ProprietorNo
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1336775782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 0000000000
1816 GRANITE DR, Shakopee, MN 55379
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Survival Mandieka's NPI number?

The NPI number for Survival Mandieka is 1336775782. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Survival Mandieka located?

Survival Mandieka practices at 1816 Granite Dr, Shakopee, MN 55379. The listed phone number is (612) 298-8044.

What is Survival Mandieka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Survival Mandieka was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.