Provider Demographics
NPI:1548941214
Name:ANTON, ARSHA (APNP)
Entity type:Individual
Prefix:
First Name:ARSHA
Middle Name:
Last Name:ANTON
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N71W23373 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3253
Mailing Address - Country:US
Mailing Address - Phone:262-378-9009
Mailing Address - Fax:
Practice Address - Street 1:FROEDTERT COMMUNITY HOSPITAL
Practice Address - Street 2:4805 S MORELAND RD
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151
Practice Address - Country:US
Practice Address - Phone:262-378-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13746363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care