Fastner, Ellen

Fastner, Ellen is an individual health care provider with primary practice located at 11269 Jefferson Hwy N , Champlin MN 55316. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fastner, Ellen can be contacted via phone (763) 236-0600.

Contact Information

Primary practice address
11269 Jefferson Hwy N Champlin MN 55316
Phone: (763) 236-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R126105-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1284 Minnesota

Profile Details

NPI number 1952719254
LBN Legal business name Fastner, Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Jun 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers