Individual
JANICE LEA NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-0000
(406) 395-4486
(406) 395-4138
Mailing address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-0000
(406) 395-4486
(406) 395-4138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
40604803
MT
363LF0000X
Family Nurse Practitioner
RN23489
MT
Other
Enumeration date
04/10/2007
Last updated
01/30/2020
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