Individual provider · Type 1 NPI
Lisa Lauren Antle, APRN/BC/APNP
Gerontology Clinical Nurse Specialist · Shorewood, WI
NPI number
1629260716
Active
Practice location
3915 N Ridgefield Cir
Shorewood, WI 53211-2451
Fax (414) 906-1758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 2531-033 (WI) |
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | None listed |
Gerontology Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1629260716
Lisa Lauren Antle, APRN/BC/APNP's National Provider Identifier is 1629260716, issued on Aug 13, 2007. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Shorewood, WI. The record was last updated on Aug 13, 2007.