Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Lisa Lauren Antle, APRN/BC/APNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1629260716

MS. Lisa Lauren Antle, APRN/BC/APNP is a Gerontology Clinical Nurse Specialist in Shorewood, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X (WI)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 2531-033 (WI)

Record details

NPI number1629260716
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN/BC/APNP
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007