| Ellen Fastner, NP | |
|
11269 Jefferson Hwy N, Champlin, MN 55316 | |
| (763) 236-0600 | |
| Not Available |
| Full Name | Ellen Fastner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952719254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R126105-5 (Minnesota) | Primary |
| 363L00000X | Nurse Practitioner | 1284 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Fastner, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Ellen Fastner, NP 11269 Jefferson Hwy N, Champlin, MN 55316 Ph: (763) 236-0600 |
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947 | |
Prince Nde Aloh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Janet M Siciliano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 612-427-9620 Fax: 612-247-9626 | |
Mrs. Amy Rasmussen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316 Phone: 651-503-1994 | |
Micah Nicole Vande Vegte, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E River Pkwy Unit 428, Champlin, MN 55316 Phone: 712-395-8621 | |
Mrs. Jan Elaine Youngblood, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11990 Business Park Blvd N, Champlin, MN 55316 Phone: 402-598-2365 |