Individual
DR. CARRIE A BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN, GCNS-BC
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5724
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5724
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
134029-30
WI
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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