Nathan Grey Lystrup, FNP | |
450 Tatone St, Boardman, OR 97818-8076 | |
(541) 481-7212 | |
(541) 481-2020 |
Full Name | Nathan Grey Lystrup |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 450 Tatone St, Boardman, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659825651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 201605982RN (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201605983NP-PP (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nathan Grey Lystrup, FNP 1967 Ne 2nd St, Hermiston, OR 97838-1721 Ph: (702) 596-4157 | Nathan Grey Lystrup, FNP 450 Tatone St, Boardman, OR 97818-8076 Ph: (541) 481-7212 |
Mrs. Stephanie L Green, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Tatone St, Boardman, OR 97818 Phone: 541-481-7212 Fax: 541-481-2020 | |
Adrienne Hayford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Tatone St, Boardman, OR 97818 Phone: 541-481-7212 Fax: 541-481-2020 | |
Jennifer Rebecca Schenk, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Tatone St, Boardman, OR 97818 Phone: 541-481-7212 Fax: 541-481-2020 |