Rodberg, Kathryn R

Rodberg, Kathryn R is an individual health care provider with primary practice located at 11430 N. Port Washington Rd. , Mequon WI 53092-3493. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rodberg, Kathryn R can be contacted via phone (262) 518-1900.

Contact Information

Primary practice address
11430 N. Port Washington Rd. Mequon WI 53092-3493
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5067 Wisconsin

Profile Details

NPI number 1043569957
LBN Legal business name Rodberg, Kathryn R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Apr 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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