Whalio Doctors

NPI 1003520495

Amanda Rose Bantle, APNP

Practitioner Nurse Practitioner Green Bay, WI

Practice location

Address
2581 Development Dr, Green Bay, WI 54311-4247
Phone
(920) 347-0400
Fax
(920) 347-0868
Mailing address
1035 Kepler Dr, Green Bay, WI 54311-8320

Registered specialties (2)

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 13516-33 (WI)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 168768-30 (WI)

Registry record

NPI
1003520495
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jan 2023
Record last updated
21 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.