Healthcare Provider Details

I. General information

NPI: 1114595808
Provider Name (Legal Business Name): YIU NGAI APRN, CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 WOODLAKE DR SE
ROCHESTER MN
55904-5530
US

IV. Provider business mailing address

251 WOODLAKE DR SE
ROCHESTER MN
55904-5530
US

V. Phone/Fax

Practice location:
  • Phone: 507-206-2561
  • Fax:
Mailing address:
  • Phone: 507-206-2561
  • Fax: 507-529-2748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7156
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: