Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Heather Evelyn Nystrom, NNP-BC

Individual provider Neonatal Nurse Practitioner · NPI 1649508854

Mrs. Heather Evelyn Nystrom, NNP-BC is a Neonatal Nurse Practitioner in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-0467
Fax: (313) 916-9485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 4704203209 (MI)

Record details

NPI number1649508854
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC
Sole proprietorNo
NPI enumeratedNovember 28, 2009
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

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