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Individual

HEATHER BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2727 PLAZA DR, WAUSAU, WI 54401-4192
(715) 847-3166
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15768
WI
363LF0000X
Family Nurse Practitioner
4704294737
MI

Other

Enumeration date
03/06/2019
Last updated
10/17/2024
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