Healthcare Provider Details

I. General information

NPI: 1285940163
Provider Name (Legal Business Name): ELIJAH ZARYU YARPAH PMHNP-BC, CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 COLFAX AVE N
MINNEAPOLIS MN
55430-2760
US

IV. Provider business mailing address

5700 COLFAX AVE N
MINNEAPOLIS MN
55430-2760
US

V. Phone/Fax

Practice location:
  • Phone: 763-957-2560
  • Fax:
Mailing address:
  • Phone: 763-957-2560
  • Fax: 612-677-3048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number12329
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR1927917
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: