NATHAN LYSTRUP, F.N.P.

Nurse Practitioner - Family

Active Individual
NPI: 1659825651

Practice Address

450 TATONE ST
Boardman, OR 97818

Phone: (541) 481-7212

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 201605982RN (OR)
Nurse Practitioner - Family 363LF0000X Yes 201605983NP-PP (OR)

Frequently Asked Questions

NPI 1659825651 is the National Provider Identifier for NATHAN LYSTRUP, F.N.P., a Nurse Practitioner - Family provider located in Boardman, OR. This NPI was enumerated on August 8, 2016.
NATHAN LYSTRUP, F.N.P. practices at 450 TATONE ST, Boardman, OR 97818.

Quick Facts

NPI
1659825651
Type
Individual
Enumerated
Aug 8, 2016
Last Updated
Aug 8, 2016

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