ELLEN FASTNER, NP

Nurse Practitioner - Family

Active Individual
NPI: 1952719254

Practice Address

11269 JEFFERSON HWY N
Champlin, MN 55316

Phone: (763) 236-0600

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes R126105-5 (MN)
Nurse Practitioner 363L00000X No 1284 (MN)

Frequently Asked Questions

NPI 1952719254 is the National Provider Identifier for ELLEN FASTNER, NP, a Nurse Practitioner - Family provider located in Champlin, MN. This NPI was enumerated on July 30, 2014.
ELLEN FASTNER, NP practices at 11269 JEFFERSON HWY N, Champlin, MN 55316.

Quick Facts

NPI
1952719254
Type
Individual
Enumerated
Jul 30, 2014
Last Updated
Jun 4, 2018

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