MEDICARE: AMY K YILEK RN, 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	363LF0000X	Family Nurse Practitioner	307	MN
2	363LF0000X	Family Nurse Practitioner	R 137741-5	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053390757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY K YILEK RN, CNP

Provider Business Mailing Address
First Line	:	910 E 26TH ST
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4526
Country	:	US
Telephone Number	:	612-884-6300
Fax Number	:	612-884-6363

Provider Business Practice Location Address
First Line	:	910 E 26TH ST
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4526
Country	:	US
Telephone Number	:	612-884-6300
Fax Number	:	612-884-6363

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	10/30/2025

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