# CANDACE BENTLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275188393
- **Gender:** F
- **Credential:** APNP, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | 9238-33 | WI | — |

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 05/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100092110 | — | WI |