SearchWisconsin163W00000X

Theresa Ertl, RN

NPI 1538576962 · on the registry since 2014

Practice

Address
1014 Long Ct
Sparta, WI 54656
Phone
(920) 410-8539

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin