Organization
COLLABORATIVE CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN MOEN (OWNER)
(651) 485-3923
Entity
Organization
Contact information
Practice address
1057 GRAND AVE FL 2, SAINT PAUL, MN 55105-3002
(651) 384-1736
(651) 666-1507
Mailing address
4734 WESTMINSTER CIR, EAGAN, MN 55122-2756
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
07/18/2025
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