Heidi Capodarco, APNP
Nurse Practitioner in Pleasant Prairie, WI. Individual provider (NPI-1).
NPI number1669992004
StatusActive
Last updated in NPPESAug 25, 2017
Details
- NPI
- 1669992004
- Entity type
- Individual (NPI-1)
- Name
- Heidi Capodarco
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Last updated
- Aug 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7864-33 | WI | Yes |
| 163WE0003X | Registered Nurse, Emergency | 131503 | WI |
Practice location
9555 76th StPleasant Prairie, WI 53158-1984
Phone 262-656-3313 · Fax 262-653-5850
Mailing address
6308 8th AvenueMedical Staff Office
Kenosah, WI 53143-5031
Phone 262-656-3313 · Fax 262-653-5850
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