IndividualActive
Lisa Antle, APRN/BC/APNP
NPI 1629260716 · Gerontology Clinical Nurse Specialist · Shorewood, WI
Provider details
- NPI number
- 1629260716
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN/BC/APNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2531-033 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3915 N Ridgefield Cir
Shorewood, WI 53211-2451
Phone: (414) 467-4162
Fax: (414) 906-1758
Approximate (ZIP-level) locationGet directions
Mailing address
3915 N Ridgefield Cir
Shorewood, WI 53211-2451
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.