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Ellen Fastner, NP
Nurse Practitioner in Champlin, Minnesota
NPI 1952719254

Ellen Fastner is a Nurse Practitioner based in Minneapolis, MN. Ellen Fastner practices in Champlin, MN and has the professional credentials of NP. The NPI Number for Ellen Fastner is 1952719254 and holds a License No. R126105-5 (Minnesota).

The current practice location address for Ellen Fastner is 11269 Jefferson Hwy N, Champlin, MN and can be reached out via phone at 763-236-0600.

Location: 11269 Jefferson Hwy N, Champlin, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952719254
Provider Name
Ellen Fastner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11269 Jefferson Hwy N, Champlin, MN, 55407-1321
Phone Number
763-236-0600
Fax Number
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11269 Jefferson Hwy N
City
Champlin
State
Minnesota
Zip
55316
Phone Number
763-236-0600
Fax Number
person
Provider Business Mailing Address Details
Address
11269 Jefferson Hwy N
City
Champlin
State
Minnesota
Zip
55316
Phone Number
763-236-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1284 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R126105-5 (Minnesota)
Definition
Definition to come...
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