1. Home
  2. Directory
  3. Minnesota
  4. Roseville
  5. Nurse Practitioner
  6. NPI Profile

CHRISTINE FOSSUM CNP
NPI 1770113748
Nurse Practitioner - Family in Roseville, MN

Active since January 18, 2020
2277 HIGHWAY 36 W STE 140, ROSEVILLE, MN 55113(507) 934-7161 Get Directions Write a Review

NPPES record last updated: March 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2021, Jan 18, 2020 (2 updates tracked since 2020).

About Christine Fossum Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE FOSSUM CNP (NPI 1770113748) is an individual family provider in Roseville, Minnesota, licensed in Minnesota (6366) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1770113748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTINE FOSSUMCredential: CNP
Location Address2277 HIGHWAY 36 W STE 140Roseville, MN 55113-3895
Mailing Address2277 Highway 36 W Ste 140Roseville, MN 55113-3895
Phone(507) 934-7161
Sole ProprietorNo
Enumeration DateJanuary 18, 2020
Last NPPES UpdateMarch 13, 20212 updates tracked since enumeration
NPPES CertifiedMarch 13, 2021
✔ NPI 1770113748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 6366
2277 HIGHWAY 36 W STE 140, Roseville, MN 55113
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Fossum's NPI number?

The NPI number for Christine Fossum is 1770113748. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Where is Christine Fossum located?

Christine Fossum practices at 2277 Highway 36 W Ste 140, Roseville, MN 55113. The listed phone number is (507) 934-7161.

What is Christine Fossum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Christine Fossum was last updated on March 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.