MEDICARE: CYNTHIA ERTL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0000X	Neonatal Nurse Practitioner	17973-33	WI

General Provider Information

NPI Number	:	1932036118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ERTL

Provider Business Mailing Address
First Line	:	5845 N 119TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-2211
Country	:	US
Telephone Number	:	608-263-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-0002
Country	:	US
Telephone Number	:	608-263-7337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ CYNTHIA ERTL ” Practice Location

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