Individual
LISA ERTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
103 PARKER RD STE B, WEST LONG BRANCH, NJ 07764-1009
(732) 222-0307
(732) 222-0394
Mailing address
687 ELLINGTON RD, RIDGEWOOD, NJ 07450-5512
(551) 482-0173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15263200
NJ
Other
Enumeration date
04/28/2025
Last updated
07/24/2026
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