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Amanda Bustle, CPNP — NPI 1114464765, Portage, MI | NPI Central

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NPI 1114464765

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Amanda Bustle, CPNP

NPI 1114464765 · Pediatric Nurse Practitioner · Portage, MI

Provider details

NPI number: 1114464765
Entity type: Individual
Primary specialty: Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: CPNP
Sex: Female
Sole proprietor: No
License: 209.014881 (IL)

Specialties & taxonomies

Pediatric Nurse PractitionerPrimary363LP0200XLicense 4704419600 (MI)
Physician Assistants & Advanced Practice Nursing Providers
Pediatric Nurse Practitioner363LP0200XLicense 209.014881 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

2680 W Centre Ave

Portage, MI 49024-4828

Phone: (269) 324-2400

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

5827 Corporate Way

West Palm Beach, FL 33407-2000

Additional practice locations (3)

2015 US Highway 441 N
Okeechobee, FL 34972-1901
Phone: (863) 763-1951
Fax: (844) 540-4798
1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
5629 Stadium Dr Ste a
Kalamazoo, MI 49009-1952
Phone: (269) 372-1000

Registry dates

Enumerated: 2017-01-20
Last updated: 2025-02-26
Certified: 2025-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.