NATHAN GREY LYSTRUP F.N.P. NPI 1659825651

NPI Information

  • NPI: 1659825651
  • Provider Name: NATHAN GREY LYSTRUP, F.N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 450 TATONE ST
    BOARDMAN, OR
    ZIP 97818
  • Phone: (541) 481-7212

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NPI Details

Nathan Grey Lystrup, F.N.P. is a family nurse practitioner in Boardman, OR. Nathan Grey Lystrup, F.N.P. NPI is 1659825651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 TATONE ST
BOARDMAN, OR
ZIP 97818-076
Phone: (541) 481-7212
Fax: (541) 481-2020

The enumeration date for this NPI number is 8/8/2016 and was last updated on 8/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201605982RNOREGONNo
2363LF0000XNurse PractitionerFamily201605983NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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