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

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