Individual
SHAYLEE NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5578 LONGLEY LN, RENO, NV 89511-1825
(775) 284-8650
Mailing address
5578 LONGLEY LN, RENO, NV 89511-1825
(775) 284-8650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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