Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daleso Yadetta, PA

Individual provider Physician Assistant · NPI 1962977728

Daleso Yadetta, PA is a Physician Assistant in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11850 Blackfoot St NW Ste 100
Coon Rapids, MN 55433-2774
Phone: (763) 712-2100
Fax: (763) 712-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12817 (MN)

Record details

NPI number1962977728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018

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