NPI 1003520495
Amanda Rose Bantle, APNP
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
Registered Nurse
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.