Provider Demographics
NPI:1356642037
Name:HUSTRULID, ROBYN KARA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:KARA
Last Name:HUSTRULID
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4832 WASHBURN AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1850
Mailing Address - Country:US
Mailing Address - Phone:612-205-5717
Mailing Address - Fax:
Practice Address - Street 1:4832 WASHBURN AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1850
Practice Address - Country:US
Practice Address - Phone:612-205-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNS429128549015374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula