Individual
VALETTA JOHNSON MASSAQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
(612) 567-8935
Mailing address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 567-8935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7916
MN
Other
Enumeration date
08/26/2020
Last updated
07/16/2025
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