Provider Demographics
NPI:1285940163
Name:YARPAH, ELIJAH ZARYU (PMHNP-BC, CNP)
Entity type:Individual
Prefix:DR
First Name:ELIJAH
Middle Name:ZARYU
Last Name:YARPAH
Suffix:
Gender:M
Credentials:PMHNP-BC, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 COLFAX AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2760
Mailing Address - Country:US
Mailing Address - Phone:763-957-2560
Mailing Address - Fax:
Practice Address - Street 1:5700 COLFAX AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55430-2760
Practice Address - Country:US
Practice Address - Phone:763-957-2560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1927917163WP0809X
MN12329163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN348032OtherCLASS A PROFESSIONAL HOME HEALTH AGENCY