Individual provider · Type 1 NPI

Kathryn R. Rodberg, NP

Nurse Practitioner · Mequon, WI

NPI number 1043569957 Active

Practice location

11430 N. Port Washington Rd.
Mequon, WI 53092-3493

Mailing address

PO Box 78600
Milwaukee, WI 53278-0600

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5067 (WI)

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 1043569957

Kathryn R. Rodberg, NP's National Provider Identifier is 1043569957, issued on Sep 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mequon, WI. The record was last updated on Apr 4, 2022.