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

MARTHA J LYSTAD, NP

Active

MARTHA J LYSTAD, NP is a Nurse Practitioner healthcare provider located in GREENBUSH, Minnesota. NPI 1811088610 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GREENBUSH, MN

Registration Details

NPI Number
1811088610
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2006 (19.893041403445 yrs)
Last Updated
Oct 13, 2020
License
R114162-5 (MN)

Practice Information

Address
19120 200TH ST
GREENBUSH, MN, 567269280
Browse MN providers · Browse ZIP 56726
Phone
2187822400
Primary Specialty
Nurse Practitioner
363L00000X
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.