2581 DEVELOPMENT DR
GREEN BAY, WI 54311-4247 US PECOS Enrolled
Overview
Amanda Rose Bantle is a Nurse Practitioner in the GREEN BAY area. Amanda Rose Bantle primary office location is at 2581 DEVELOPMENT DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003520495 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 13516-33 | WI |
| 168768-30 | WI |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner - Taxonomy Code 363L00000X | WI | Y |
| Registered Nurse - Taxonomy Code 163W00000X | WI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
Find information on any health care provider or organization that has an National Provider Identifier, view related providers and organizations as well as referral information when available.
Gain Insights into the network of healthcare.
