Provider Demographics
NPI:1508748930
Name:JULSRUD, KENDRA MARIE (RN-BSN)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:MARIE
Last Name:JULSRUD
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:BARNESVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56514-3309
Mailing Address - Country:US
Mailing Address - Phone:218-405-0805
Mailing Address - Fax:
Practice Address - Street 1:402 7TH ST NE
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:MN
Practice Address - Zip Code:56514-3309
Practice Address - Country:US
Practice Address - Phone:218-405-0805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR43402163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse