Healthcare Provider Details

I. General information

NPI: 1033037064
Provider Name (Legal Business Name): SIDNEY CAPATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 S SHORE DR
MILWAUKEE WI
53207-2322
US

IV. Provider business mailing address

2620 S SHORE DR
MILWAUKEE WI
53207-2322
US

V. Phone/Fax

Practice location:
  • Phone: 414-795-0960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202631689
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: