ALEMU KASSA RETA NPI 1790490241

NPI Information

  • NPI: 1790490241
  • Provider Name: ALEMU KASSA RETA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 15251 PLEASANT VALLEY RD
    CENTER CITY, MN
    ZIP 55012
  • Phone: (651) 213-4984

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NPI Details

Alemu Kassa Reta is a psychiatric/mental health nurse practitioner in Center City, MN. Alemu Kassa Reta NPI is 1790490241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15251 PLEASANT VALLEY RD
CENTER CITY, MN
ZIP 55012-640
Phone: (651) 213-4984

The enumeration date for this NPI number is 1/19/2023 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health9751MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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