Individual
MIA AMAO YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2800 CAMPUS DR STE 44, PLYMOUTH, MN 55441-2669
(612) 444-3174
Mailing address
4607 128TH CIR NE, BLAINE, MN 55449-6619
(612) 257-2877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2156839
MN
363L00000X
Nurse Practitioner
10109
MN
363LF0000X
Family Nurse Practitioner
10109
MN
Other
Enumeration date
04/25/2023
Last updated
07/13/2026
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