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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AMANDA M BUSTLE, CPNP

Active

MRS. AMANDA M BUSTLE, CPNP is a Pediatric Nurse Practitioner healthcare provider located in PORTAGE, Michigan. NPI 1114464765 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · PORTAGE, MI

Registration Details

NPI Number
1114464765
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2017 (9.5221048004018 yrs)
Last Updated
Feb 26, 2025
Licenses
209.014881 (IL)
4704419600 (MI)

Practice Information

Address
2680 W CENTRE AVE
PORTAGE, MI, 490244828
Browse MI providers · Browse ZIP 49024
Phone
2693242400
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in PORTAGE, MI

Name Credential NPI
ANN PATRICE SHEEHAN DNP, CPNP 1639177983
MARY J SCHIRA NP 1902886518
NANCY L MAUDLIN NP 1912987595
JEANNE LEADLEY RN, CPNP, IBCLC 1902913171
MS. KATHERINE MARIE LONGORIA PNP, RN 1275887051
CARAH BETH LEMMEN 1679058218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.