Antle, Denise Elaine

Antle, Denise Elaine is an individual health care provider with primary practice located at 1236 E Rusholme St , Davenport IA 52803-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Antle, Denise Elaine can be contacted via phone (563) 421-3994.

Contact Information

Primary practice address
1236 E Rusholme St Davenport IA 52803-2473
Phone: (563) 421-3994
Fax: (563) 421-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X 055474 Iowa

Profile Details

NPI number 1689724700
LBN Legal business name Antle, Denise Elaine
Credentials ARNP, MSN, CCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689724700 NPPES
Iowa MEDICAID 436543
Iowa Other 506291
Iowa Other 16064

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