IndividualActive
Nathan Lystrup, F.N.P.
NPI 1659825651 · Family Nurse Practitioner · Boardman, OR
Provider details
- NPI number
- 1659825651
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- F.N.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 201605982RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
450 Tatone St
Boardman, OR 97818-8076
Phone: (541) 481-7212
Fax: (541) 481-2020
Approximate (ZIP-level) locationGet directions
Mailing address
1967 Ne 2nd St
Hermiston, OR 97838-1721
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2016-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.