Individual
CANDACE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Contact information
Practice address
8532 W CAPITOL DR STE L100, MILWAUKEE, WI 53222-1850
(414) 249-4566
(414) 238-9489
Mailing address
8532 W CAPITOL DR STE L100, MILWAUKEE, WI 53222-1850
(414) 249-4566
(414) 238-9489
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
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