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

Eagan Child and Family Care, PA

Organization Family Medicine Physician · NPI 1629000682

Eagan Child and Family Care, PA is a Family Medicine Physician in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4178 Knob Dr Ste A
Eagan, MN 55122-2888
Phone: (651) 209-8640
Fax: (651) 209-8690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1650 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1650 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1650 (MN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 1650 (MN)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 1650 (MN)

Record details

NPI number1629000682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gretchen Moen — President · (651) 209-8640
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4178 Knob Dr, Suite A, Eagan, MN 55122-2888

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