Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rose Bantle, APNP

Individual provider Registered Nurse · NPI 1003520495

Amanda Rose Bantle, APNP is a Registered Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2581 Development Dr
Green Bay, WI 54311-4247
Phone: (920) 347-0400
Fax: (920) 347-0868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13516-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 168768-30 (WI)

Record details

NPI number1003520495
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address1035 Kepler Dr, Green Bay, WI 54311-8320

Other providers in Green Bay