MEDICARE: DR. GRETCHEN A MOEN DNP, APRN, CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0006X	Developmental - Behavioral Pediatrics Physician	2574	MN
2	363LP0200X	Pediatric Nurse Practitioner	2574	MN

General Provider Information

NPI Number	:	1922034933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRETCHEN A MOEN DNP, APRN, CPNP

Provider Business Mailing Address
First Line	:	4734 WESTMINSTER CIR
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-2756
Country	:	US
Telephone Number	:	651-456-0127
Fax Number	:

Provider Business Practice Location Address
First Line	:	1057 GRAND AVE FL 2
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-3002
Country	:	US
Telephone Number	:	651-384-1736
Fax Number	:	651-666-1507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	07/16/2025

Similar Medicare Providers

1629170469 — ST PAUL EYE CLINIC PA
Practice Location Address:

1093 GRAND AVE
SAINT PAUL, MN
55105-3002

Practice Phone: 651-222-7343
Practice Fax: 651-228-9398

1376680165 — SPECTACLE SHOPPE INC.
Practice Location Address:

1089 GRAND AVE
SAINT PAUL, MN
55105-3002

Practice Phone: 651-797-4834
Practice Fax: 651-788-9153

1336280619 — MRS. NICOLE S. UZENDOSKI MSW, LICSW
Practice Location Address:

1061 GRAND AVE
SAINT PAUL, MN
55105-3002

Practice Phone: 651-212-4920
Practice Fax:

1912224767 — THE SPECTACLE SHOPPE INC
Practice Location Address:

1089 GRAND AVE
SAINT PAUL, MN
55105-3002

Practice Phone: 651-797-4834
Practice Fax: 651-788-9153

1528343738 — DR. NATHAN RYAN DEAN PH.D., L.P.
Practice Location Address:

1041 GRAND AVE # 325
SAINT PAUL, MN
55105-3002

Practice Phone: 651-231-9936
Practice Fax: 651-647-5723

1841568110 — MS. KELLY L KARELS LMFT
Practice Location Address:

1061 GRAND AVE
SAINT PAUL, MN
55105-3002

Practice Phone: 651-210-9652
Practice Fax:

Directions to “ DR. GRETCHEN A MOEN DNP, APRN, CPNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.