Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Fastner, NP

Individual provider Family Nurse Practitioner · NPI 1952719254

Ellen Fastner, NP is a Family Nurse Practitioner in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11269 Jefferson Hwy N
Champlin, MN 55316
Phone: (763) 236-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R126105-5 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 1284 (MN)

Record details

NPI number1952719254
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 30, 2014
Last updated in NPPESJune 4, 2018
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

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