DENISE ELAINE ANTLE ARNP MSN CCNS NPI 1689724700

NPI Information

NPI: 1689724700
Provider Name: DENISE ELAINE ANTLE, ARNP, MSN, CCNS
Classification: Clinical Nurse Specialist - 364SC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1236 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-3994
Get Directions

Denise Elaine Antle, ARNP, MSN, CCNS is a critical care medicine clinical nurse specialist in Davenport, IA. Denise Elaine Antle, ARNP, MSN, CCNS NPI is 1689724700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1236 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803-473
Phone: (563) 421-3994
Fax: (563) 421-3999

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	055474	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q17776	MEDICARE UPIN	IOWA
2	I12256	MEDICARE ID-TYPE UNSPECIFIED	IOWA
3	506291	OTHER		IOWA HEALTH SOLUTION
4	436543	MEDICAID	IOWA
5	16064	OTHER	IOWA	WELLMARK BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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