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CHRYSTAL MOON NYSTUEN LPN
NPI 1063979862
Licensed Practical Nurse in Pueblo, CO

Active since February 27, 2019
1711 E EVANS AVE, PUEBLO, CO 81004(719) 543-9751 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chrystal Moon Nystuen Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSTAL MOON NYSTUEN LPN (NPI 1063979862) is an individual licensed practical nurse in Pueblo, Colorado, licensed in Colorado (PN0332510) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1063979862
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRYSTAL MOON NYSTUENCredential: LPN
Location Address1711 E EVANS AVEPueblo, CO 81004-3349
Mailing Address1711 E Evans AvePueblo, CO 81004-3349
Phone(719) 543-9751
Sole ProprietorNo
Enumeration DateFebruary 27, 2019
✔ NPI 1063979862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CO · PN0332510
Definition
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.
1711 E EVANS AVE, Pueblo, CO 81004
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROSEMARY B AGUILAR BSWCACIII
Counselor (Addiction (Substance Use Disorder))
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 561-9850
MS. TAMMY R PAYNE LCSW
Social Worker (Clinical)
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8751
MS. NITA MORANO N.C.C., LPC
Counselor (Professional)
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 561-9850
MS. BETTY J KELLY
Counselor (Addiction (Substance Use Disorder))
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 561-9850
TIFFANY GETZ LICENSED PRACTICAL N
Licensed Practical Nurse
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8751
DANIELLE DALYNN KEASLING FNP-C
Nurse Practitioner (Family)
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8751
MELISSA KING LCSW
Social Worker (Clinical)
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 404-1784
LARRY FREEBURN
Counselor (Addiction (Substance Use Disorder))
1711 E EVANS AVE
PUEBLO, CO 81004
Pueblo County (719) 561-9850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrystal Nystuen's NPI number?

The NPI number for Chrystal Nystuen is 1063979862. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Chrystal Nystuen located?

Chrystal Nystuen practices at 1711 E Evans Ave, Pueblo, CO 81004. The listed phone number is (719) 543-9751.

What is Chrystal Nystuen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Chrystal Nystuen was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.