Individual provider · Type 1 NPI
Deanna L. Rodenberg, NP
Nurse Practitioner · Belleville, IL
Practice location
4550 Memorial Dr, Ste. 340
Belleville, IL 62226-5372
Fax (618) 257-6679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012025805 (MO) |
| Registered Nurse | 163W00000X | 041404382 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209009887 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013265248
Deanna L. Rodenberg, NP's National Provider Identifier is 1013265248, issued on Aug 20, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 29, 2026.