# CAROL BUENTELLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720429566
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 10078 | WI | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | 4704222255 | MI | — |

## Other

- **Enumeration date:** 07/09/2013
- **Last updated:** 08/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100178486 | — | WI |