Organization · Type 2 NPI
Collaborative Care Consultants LLC
Pediatric Nurse Practitioner · St. Paul, MN
NPI number
1972309987
Active
Practice location
1057 Grand Ave Fl 2
St. Paul, MN 55105-3002
Fax (651) 666-1507
Mailing address
4734 Westminster Cir
Eagan, MN 55122-2756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in St. Paul
About NPI 1972309987
Collaborative Care Consultants LLC's National Provider Identifier is 1972309987, issued on Feb 20, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Jul 18, 2025.