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

Evergreen Primary Care PLLC

Organization Family Medicine Physician · NPI 1831768704

Evergreen Primary Care PLLC is a Family Medicine Physician in Eagan, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1337 Wilderness Run Dr
Eagan, MN 55123-1856
Phone: (612) 817-7240
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1831768704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shary Vang — Member · (612) 817-7240
NPI enumeratedJune 23, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address1337 Wilderness Run Dr, Eagan, MN 55123-1856

Other providers in Eagan