Amanda Rose Bantle, APNP

NPI #1003520495 in Green Bay, Wisconsin

Provider Information

NPI Number: 1003520495
Entity Type: Individual
Name: Amanda Rose Bantle, APNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: APNP
Enumeration Date: Jan 10, 2023
Last Updated: Jan 31, 2023

Practice Location

Address: 2581 DEVELOPMENT DR
City: Green Bay
State: Wisconsin
ZIP Code: 54311-4247
Phone: (920) 347-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary

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