Healthcare Provider Details

I. General information

NPI: 1194657825
Provider Name (Legal Business Name): AMBER KAPINOS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N WALL ST
DENMARK WI
54208-8000
US

IV. Provider business mailing address

450 N WALL ST
DENMARK WI
54208-8000
US

V. Phone/Fax

Practice location:
  • Phone: 920-863-4032
  • Fax:
Mailing address:
  • Phone: 920-360-2293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number163295
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: