Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eagan Child and Family Care, PA

Organization Family Medicine Physician · NPI 1629000682

Eagan Child and Family Care, PA provides Family Medicine Physician services 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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