Nathan Grey Lystrup, F.N.P.

NPI #1659825651 in Boardman, Oregon

Provider Information

NPI Number
1659825651
Entity Type
Individual
Name
Nathan Grey Lystrup, F.N.P.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
F.N.P.
Enumeration Date
Aug 8, 2016
Last Updated
Aug 8, 2016

Practice Location

Address
450 TATONE ST
State
Oregon
ZIP Code
97818-8076
Phone
(541) 481-7212

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - FamilyFamily

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