| Valetta Johnson Massaquoi, MSN, APRN, FNP-BC | |
| 
					464 2nd St Ste 204, Excelsior, MN 55331-2015  | |
| (612) 787-8408 | |
| (612) 567-8935 | 
| Full Name | Valetta Johnson Massaquoi | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 464 2nd St Ste 204, Excelsior, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922611318 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7916 (Minnesota) | Primary | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460  | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549  | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Valetta Johnson Massaquoi, MSN, APRN, FNP-BC 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: () -  | Valetta Johnson Massaquoi, MSN, APRN, FNP-BC 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408  | 
Ms. Kara M Hutton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523  | |
Irene Enjema Ekobena, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935  | |
Mai Moua Vang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Water St, Excelsior, MN 55331 Phone: 952-442-6950 Fax: 952-955-6276  | |
Eleanor Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Division St, Excelsior, MN 55331 Phone: 952-474-5488  | |
Dr. Yuven Sabastian Lukong, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935  | |
Mr. Andrew Kern Rosdhal, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494  | |
Kayla Lynn Parker, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 Fax: 763-647-2477  |