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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN GREY LYSTRUP, F.N.P.

Active Sole Proprietor

Family Nurse Practitioner · BOARDMAN, OR

Registration Details

NPI Number
1659825651
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2016 (9.7347284344887 yrs)
Last Updated
Aug 8, 2016
Licenses
201605982RN (OR)
201605983NP-PP (OR)
Sole Proprietor
Yes

Practice Information

Address
450 TATONE ST
BOARDMAN, OR, 978188076
Browse OR providers · Browse ZIP 97818
Phone
5414817212
Fax
5414812020
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in BOARDMAN, OR

Name Credential NPI
MRS. STEPHANIE L GREEN CFNP 1376504357
MARIA EVA JAIME RAMOS 1225623853
JENNIFER REBECCA SCHENK FNP-C 1912659418
ADRIENNE HAYFORD AMSBAUGH NP 1457067134
MARTHA CECILIA HURTADO ARNP 1417820135
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.