Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Care Consultants LLC

Organization Pediatric Nurse Practitioner · NPI 1972309987

Collaborative Care Consultants LLC is a Pediatric Nurse Practitioner 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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