MEDICARE: DR. ELIJAH ZARYU YARPAH PMHNP-BC, 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	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	12329	MN
2	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	R1927917	MN

General Provider Information

NPI Number	:	1285940163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIJAH ZARYU YARPAH PMHNP-BC, CNP

Provider Business Mailing Address
First Line	:	5700 COLFAX AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55430-2760
Country	:	US
Telephone Number	:	763-957-2560
Fax Number	:	612-677-3048

Provider Business Practice Location Address
First Line	:	5700 COLFAX AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55430-2760
Country	:	US
Telephone Number	:	763-957-2560
Fax Number	:

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	07/09/2025

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