Individual provider · Type 1 NPI

Amanda M. Bustle, CPNP

Pediatric Nurse Practitioner · Portage, MI

NPI number 1114464765 Active

Practice location

2680 W Centre Ave
Portage, MI 49024-4828

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000

Other practice locations

  • 5629 Stadium Dr Ste A, Kalamazoo, MI 49009-1952 · (269) 372-1000
  • 1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600
  • 2015 US Highway 441 N, Okeechobee, FL 34972-1901 · (863) 763-1951

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X209.014881 (IL)
Pediatric Nurse Practitioner Primary 363LP0200X4704419600 (MI)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

Other pediatric nurse practitioner providers in Portage

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About NPI 1114464765

Amanda M. Bustle, CPNP's National Provider Identifier is 1114464765, issued on Jan 20, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portage, MI. The record was last updated on Feb 26, 2025.