Individual provider · Type 1 NPI

Ellen Hanson, CNP

Nurse Practitioner · Champlin, MN

NPI number 1073318598 Active

Practice location

11269 Jefferson Hwy N
Champlin, MN 55316-3123

Fax (763) 236-0790

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X12979 (MN)

Nurse Practitioner: (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 wit…

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About NPI 1073318598

Ellen Hanson, CNP's National Provider Identifier is 1073318598, issued on Feb 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Champlin, MN. The record was last updated on Sep 16, 2025.