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Individual

MRS. LINDA MARIE HEATH BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95678-030
WI
363LF0000X
Family Nurse Practitioner
Primary
5425-33
WI

Other

Enumeration date
10/02/2006
Last updated
10/15/2013
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