Individual
ANGELA RISTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Mailing address
9488 393RD AVE, WASECA, MN 56093-4110
(507) 995-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F09200846
—
MN
Enumeration date
11/22/2021
Last updated
02/18/2025
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