DENISE ELAINE ANTLE


Address: 1236 E Rusholme St, Davenport, IA 52803-2473
Phone: 5634213994

DENISE ELAINE ANTLE (NPI# 1689724700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689724700
Entity Type Individual
Full Name DENISE ELAINE ANTLE
Credential ARNP, MSN, CCNS
Practice Address 1236 E Rusholme St
Davenport
IA 52803-2473
Mailing Address 815 Waverly Rd
Davenport
IA 52804-4330
Practice Telephone 5634213994
Practice Fax Number 5634213999
Mailing Telephone 5633264499
Enumeration Date 2007-01-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SC0200X Clinical Nurse Specialist
Specialization: Critical Care Medicine
055474 IA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IOWA HEALTH SOLUTION 506291 01
IA WELLMARK BCBS 16064 01
IA 436543 05

Office Location

Street Address 1236 E RUSHOLME ST
City DAVENPORT
State IA
Zip Code 52803-2473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912986837 Prakash R Bontu Internal Medicine 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2006-01-10
1942606413 Ellen Terese Holm Nurse Practitioner 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 2014-11-11
1619228392 Meredith Lee Hodgson Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2012-09-21
1720382542 Julie Ann Shereda Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2011-01-08
1760792683 Cynthia D Burkholder Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2010-10-13
1497080709 Srikanth Reddy Kasula Internal Medicine 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 2009-10-05
1184957839 Shannon M Mentzer Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2009-09-14
1538353784 Paula Jean Bryant Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2007-08-30
1871687087 Michael Joseph Gimbel IIi Internal Medicine 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 2006-10-03
1104936087 Shawna Kaye Duske Nurse Practitioner 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679189971 Amber Rae Rupiper Physician Assistant 518 Locus Street, Davenport, IA 52803 2020-09-22
1558869321 Devan Louis Depauw Physician Assistant 1227 East Rusholme St., Davenport, IA 52803 2018-01-26
1215383070 Brittney N Hughes Nurse Practitioner 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 2016-05-11
1992138747 Sarah Beth Schlickman Nurse Practitioner 1228 E Rusholme St Ste 3020, Davenport, IA 52803 2013-08-15
1154763845 Leslie A Poston Nurse Practitioner 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 2013-07-23
1083878896 Jolene Marie Dague Dentist 1905 N. Main St, Davenport, IA 52803 2008-07-11
1952436370 Joann C Milani Psychologist 1503 Brady Street, Davenport, IL 52803 2007-02-23
1942343579 Lisa Clare Ploehn Pharmacist 129 West Locust Street, Davenport, IA 52803 2007-02-14
1366597957 Cathleen Ann Clark Social Worker 1706 N Brady, Suite 204, Davenport, IA 52803 2007-01-24
1184781940 William Burke Ltd Durable Medical Equipment & Medical Supplies 129 West Locust, Davenport, IA 52803 2007-01-02
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Taxonomy Information

Taxonomy Code 364SC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Competitor

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City DAVENPORT
Zip Code 52803

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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