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Alemu Kassa Reta
Psychiatric/Mental Health Nurse Practitioner in Center City, Minnesota
NPI 1790490241

Alemu Kassa Reta is a Psychiatric/Mental Health Nurse Practitioner based in Andover, MN and is specialized in Psychiatric/Mental Health. Alemu Kassa Reta practices in Center City, MN. The NPI Number for Alemu Kassa Reta is 1790490241 and holds a License No. 9751 (Minnesota).

The current practice location address for Alemu Kassa Reta is 15251 Pleasant Valley Rd, Center City, MN and can be reached out via phone at 651-213-4984.

Location: 15251 Pleasant Valley Rd, Center City, MN, 55304-7508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790490241
Provider Name
Alemu Kassa Reta
Credential
Provider Entity Type
Individual
Gender
Male
Address
15251 Pleasant Valley Rd, Center City, MN, 55304-7508
Phone Number
651-213-4984
Fax Number
Provider Enumeration Date
01/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15251 Pleasant Valley Rd
City
Center City
State
Minnesota
Zip
55012-9640
Phone Number
651-213-4984
Fax Number
person
Provider Business Mailing Address Details
Address
15251 Pleasant Valley Rd
City
Center City
State
Minnesota
Zip
55012-9640
Phone Number
651-213-4984
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
9751 (Minnesota)
Definition
Definition to come...
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