Nurse Practitioner
AMANDA BANTLE APNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003520495 · enumerated 2023-01-10 · record updated 2026-04-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1035 KEPLER DR, GREEN BAY, WI, 54311-8320 (920) 490-9046 Fax (920) 405-8005 Google Maps Apple Maps OpenStreetMap
- Practice location 2581 DEVELOPMENT DR, GREEN BAY, WI, 54311-4247 (920) 347-0400 Fax (920) 347-0868 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 168768-30 WI
- Nurse Practitioner 363L00000X · Primary · License 13516-33 WI
In this directory
Locations and evidence
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Practice location
GREEN BAY, WI, 543114247
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.