Individual provider · Type 1 NPI
Alemu Kassa Reta
Psychiatric/Mental Health Nurse Practitioner · Center City, MN
NPI number
1790490241
Active
Practice location
15251 Pleasant Valley Rd
Center City, MN 55012-9640
Mailing address
3318 138th Ave NW
Andover, MN 55304-7508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9751 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790490241
Alemu Kassa Reta's National Provider Identifier is 1790490241, issued on Jan 19, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Center City, MN. The record was last updated on Jan 19, 2023.