Individual
CANDACE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
9238-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092110
—
WI
Enumeration date
08/06/2019
Last updated
05/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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