Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Collaborative Care Consultants LLC

Organization Pediatric Nurse Practitioner · NPI 1972309987

Collaborative Care Consultants LLC provides Pediatric Nurse Practitioner services in Saint Paul, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1057 Grand Ave Fl 2
Saint Paul, MN 55105-3002
Phone: (651) 384-1736
Fax: (651) 666-1507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1972309987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gretchen Moen — Owner · (651) 485-3923
NPI enumeratedFebruary 20, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address4734 Westminster Cir, Eagan, MN 55122-2756

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