Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA LAUREN ANTLE, APRN/BC/APNP
Active Sole ProprietorMS. LISA LAUREN ANTLE, APRN/BC/APNP is a Gerontological Clinical Nurse Specialist healthcare provider located in SHOREWOOD, Wisconsin. NPI 1629260716 is currently active in the NPPES registry. Verify at CMS.
Gerontological Clinical Nurse Specialist · SHOREWOOD, WI
Registration Details
- NPI Number
- 1629260716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2007 (19.037910189005 yrs)
- Last Updated
- Aug 13, 2007
- License
-
2531-033 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3915 N RIDGEFIELD CIRSHOREWOOD, WI, 532112451Browse WI providers · Browse ZIP 53211
- Phone
- 4144674162
- Fax
- 4149061758
- Primary Specialty
-
Gerontological Clinical Nurse Specialist
364SG0600X
- Additional Specialty
- Gerontological Clinical Nurse Specialist
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.