2581 DEVELOPMENT DR
GREEN BAY, WI 54311-4247 US
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 less than a year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
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 |
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