Individual
ERICA LEE ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3992
Mailing address
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA. 18374-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155179
—
OH
Enumeration date
11/16/2015
Last updated
01/12/2021
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