MEDICARE: ALEXANDRA MARIE RIEGER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	13257	MN

General Provider Information

NPI Number	:	1386522779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MARIE RIEGER CNP

Provider Business Mailing Address
First Line	:	6055 SCENIC VIEW CT
Second Line	:
City	:	KIMBALL
State	:	MN
Zip	:	55353-4400
Country	:	US
Telephone Number	:	320-420-0576
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 E MINNESOTA ST STE 107
Second Line	:
City	:	SAINT JOSEPH
State	:	MN
Zip	:	56374-4691
Country	:	US
Telephone Number	:	320-479-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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