Organization · Type 2 NPI

Minuteclinic Primary Care Minnesota PLLC

Family Nurse Practitioner · Eagan, MN

NPI number 1104632801 Active

Practice location

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Mailing address

PO Box 772
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1104632801

Minuteclinic Primary Care Minnesota PLLC's National Provider Identifier is 1104632801, issued on Dec 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagan, MN. The record was last updated on Mar 24, 2026.