Individual
AMANDA ROSE BANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2581 DEVELOPMENT DR, GREEN BAY, WI 54311-4247
(920) 347-0400
(920) 347-0868
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168768-30
WI
363L00000X
Nurse Practitioner
Primary
13516-33
WI
Other
Enumeration date
01/10/2023
Last updated
04/21/2026
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