Individual provider · Type 1 NPI

Mary Lou Ertel, CPNP

Primary Care Nurse Practitioner · Lafayette, IN

NPI number 1639138993 Active

Practice location

2600 Greenbush St
Lafayette, IN 47904-2479

Fax (765) 448-8227

Mailing address

PO Box 5545
Lafayette, IN 47903-5545

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X71000614A (IN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1639138993

Mary Lou Ertel, CPNP's National Provider Identifier is 1639138993, issued on Mar 23, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lafayette, IN. The record was last updated on Jul 23, 2012.