Organization
CB S NP HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE BENTLEY NP (OWNER)
(414) 212-5693
Entity
Organization
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 388-8070
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 212-5693
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/08/2021
Last updated
01/20/2023
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