MS. LISA MARIE NYSTROM LPN NPI 1790254399

NPI Information

MS. Lisa Marie Nystrom, LPN is a licensed practical nurse in Portland, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Lisa Marie Nystrom, LPN NPI is 1790254399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

722 NE 162ND AVE
PORTLAND, OR
ZIP 97230-760
Phone: (503) 239-8101
Fax: (503) 408-5201

The enumeration date for this NPI number is 11/13/2018 and was last updated on 11/13/2018.

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:

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