Individual provider · Type 1 NPI

Kayla Nicole Bodart, NP

Nurse Practitioner · Appleton, WI

NPI number 1104500396 Active

Practice location

2000 E Milestone Dr
Appleton, WI 54913-6701

Other practice locations

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 · (920) 288-8280

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X13872 (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 1104500396

Kayla Nicole Bodart, NP's National Provider Identifier is 1104500396, issued on Jun 9, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Aug 5, 2025.