IndividualActive
Alemu Reta
NPI 1790490241 · Psychiatric/Mental Health Nurse Practitioner · Center City, MN
Provider details
- NPI number
- 1790490241
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9751 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15251 Pleasant Valley Rd
Center City, MN 55012-9640
Phone: (651) 213-4984
Approximate (ZIP-level) locationGet directions
Mailing address
3318 138th Ave Nw
Andover, MN 55304-7508
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.