Individual provider · Type 1 NPI

Heidi Capodarco, APNP

Nurse Practitioner · Pleasant Prairie, WI

NPI number 1669992004 Active

Practice location

9555 76th St
Pleasant Prairie, WI 53158-1984

Call (262) 656-3313 Map

Fax (262) 653-5850

Mailing address

6308 8th Avenue, Medical Staff Office
Kenosah, WI 53143-5031

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse	163WE0003X	131503 (WI)
Nurse Practitioner Primary	363L00000X	7864-33 (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 1669992004

Heidi Capodarco, APNP's National Provider Identifier is 1669992004, issued on Jun 27, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Aug 25, 2017.