Bustle, Amanda M

Bustle, Amanda M is an individual health care provider with primary practice located at 2680 W Centre Ave , Portage MI 49024-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bustle, Amanda M can be contacted via phone (269) 324-2400.

Contact Information

Primary practice address
2680 W Centre Ave Portage MI 49024-4828
Phone: (269) 324-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209.014881 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704419600 Michigan

Profile Details

NPI number 1114464765
LBN Legal business name Bustle, Amanda M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2017
Last updated Feb 26th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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