Individual
HEIDI CAPODARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 656-3313
(262) 653-5850
Mailing address
6308 8TH AVENUE, MEDICAL STAFF OFFICE, KENOSAH, WI 53143-5031
(262) 656-3313
(262) 653-5850
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
131503
WI
363L00000X
Nurse Practitioner
Primary
7864-33
WI
Other
Enumeration date
06/27/2017
Last updated
08/25/2017
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