Individual provider · Type 1 NPI

Heather Kopydlowski

Nurse Practitioner · Beloit, WI

NPI number 1053234245 Active

Practice location

2240 Prairie Ave Ste 10
Beloit, WI 53511-2648

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17173 (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 1053234245

Heather Kopydlowski's National Provider Identifier is 1053234245, issued on Aug 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beloit, WI. The record was last updated on Aug 3, 2026.