NPI 1255473658

Derek Hustvet

Practitioner Neonatal/Pediatric Registered Respiratory Therapist Roseville, MN

Practice location

Address: 2800 Cleveland Ave N, Roseville, MN 55113-1126
Phone: (651) 642-1825
Mailing address: 18595 Olson St NW, Elk River, MN 55330-4222

Registered specialties (2)

Neonatal/Pediatric Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279P3900X Licence 2070 (MN)

Other Respiratory Therapist, Registered providers in Minnesota →

Neonatal/Pediatric Registered Respiratory Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279P3900X Licence 2556 (WI)

Registry record

NPI: 1255473658
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.