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ELLEN FASTNER NP
NPI 1952719254
Nurse Practitioner - Family in Champlin, MN

Active since July 30, 2014
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316(763) 236-0600 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellen Fastner Np NPPES

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

ELLEN FASTNER NP (NPI 1952719254) is an individual family provider in Champlin, Minnesota, licensed in Minnesota (R126105-5) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1952719254
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN FASTNERCredential: NP
Location Address11269 JEFFERSON HWY NChamplin, MN 55316
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(763) 236-0600
Sole ProprietorNo
Enumeration DateJuly 30, 2014
Last NPPES UpdateJune 4, 2018
✔ NPI 1952719254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R126105-5
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1284 (MN)
11269 JEFFERSON HWY N, Champlin, MN 55316
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA SCHULTZ M.D.
Internal Medicine
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
MS. MICHELLE ROSE WILKENING MD
Family Medicine
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
ANNE MARAGRET KERN MD
Obstetrics & Gynecology
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
ELLEN HANSON CNP
Nurse Practitioner
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
DR. EFTU OMER BORU MD
Family Medicine
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
BYRON C HOLTH MD
Family Medicine
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
PRINCE NDE ALOH
Nurse Practitioner (Family)
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600
CHAMENG V VANG DO
Family Medicine
11269 JEFFERSON HWY N
CHAMPLIN, MN 55316
Hennepin County (763) 236-0600

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 Ellen Fastner's NPI number?

The NPI number for Ellen Fastner is 1952719254. It was assigned to this individual provider in the NPPES registry on July 30, 2014.

Where is Ellen Fastner located?

Ellen Fastner practices at 11269 Jefferson Hwy N, Champlin, MN 55316. The listed phone number is (763) 236-0600.

What is Ellen Fastner'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 Ellen Fastner was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.