person
Mary Lou Ertel, CPNP
Primary Care Nurse Practitioner in Lafayette, Indiana
NPI 1639138993

Mary Lou Ertel is a Primary Care Nurse Practitioner based in Lafayette, IN and is specialized in Primary Care. Mary Lou Ertel practices in Lafayette, IN and has the professional credentials of CPNP. The NPI Number for Mary Lou Ertel is 1639138993 and holds a License No. 71000614A (Indiana).

The current practice location address for Mary Lou Ertel is 2600 Greenbush St, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-8227. You can also correspond with Mary Lou Ertel through the mailing address at PO BOX 5545, LAFAYETTE, IN - 47903-5545 (mailing address contact number: 765-448-8000).

Location: 2600 Greenbush St, Lafayette, IN, 47903-5545
person
Provider Profile Details
NPI Number
1639138993
Provider Name
Mary Lou Ertel
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
2600 Greenbush St, Lafayette, IN, 47903-5545
Phone Number
765-448-8000
Fax Number
765-448-8227
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000351156 01 IN ANTHEM PROVIDER PIN
9397619 01 IN PHCS PID NUMBER
200465780 05 IN
institution
Provider Business Practice Location Address Details
Address
2600 Greenbush St
City
State
Zip
47904-2479
Phone Number
765-448-8000
Fax Number
765-448-8227
person
Provider Business Mailing Address Details
Address
2600 Greenbush St
City
State
Zip
47904-2479
Phone Number
765-448-8000
Fax Number
765-448-8227
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71000614A (Indiana)
Definition
Definition to come...
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