NPI 1629260716

Lisa Lauren Antle, APRNBCAPNP

Practitioner Gerontology Clinical Nurse Specialist Shorewood, WI

Practice location

Address: 3915 N Ridgefield Cir, Shorewood, WI 53211-2451
Phone: (414) 467-4162
Fax: (414) 906-1758

Registered specialties (2)

Gerontology Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X

Other Clinical Nurse Specialist providers in Wisconsin →

Gerontology Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 2531-033 (WI)

Registry record

NPI: 1629260716
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2007
Record last updated: 13 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.