Individual
JUDITH MABEL BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-3474
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-3474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41269000
—
WI
Enumeration date
02/08/2006
Last updated
12/22/2022
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