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Carly Triebensee, PA — NPI 1093548984, Lake Geneva, WI | NPI Central

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NPI 1093548984

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Carly Triebensee, PA

NPI 1093548984 · Physician Assistant · Lake Geneva, WI

Provider details

NPI number: 1093548984
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 8106-23 (WI)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

N2950 State Road 67

Lake Geneva, WI 53147-2655

Phone: (262) 245-0535

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

9615 Harvest Moon Ln Apt 413

Verona, WI 53593-9676

Additional practice locations (2)

3400 Deerfield Dr
Janesville, WI 53546-3557
Phone: (608) 314-3605
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535

Registry dates

Enumerated: 2024-08-26
Last updated: 2024-09-24
Certified: 2024-09-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.