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Individual
CAROL BUENTELLO
Active
Individual
CAROL BUENTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10078
WI
363LN0000X
Neonatal Nurse Practitioner
4704222255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178486
—
WI
Enumeration date
07/09/2013
Last updated
08/27/2024
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