Alemu Kassa Reta
Alemu Kassa Reta is a Nurse Practitioner in Center City, Minnesota. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2023
Practice location Address checks out
15251 Pleasant Valley RdCenter City, MN 55012-9640
Phone: (651) 213-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 9751 (MN) |
|---|
Record details
| NPI number | 1790490241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 3318 138th Ave Nw, Andover, MN 55304-7508 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |