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Contact Information

TERI S GJERSETH, CNM, APNP, FNP-C
505 GOPHER DR
TOMAH, WI54660-4513
 Phone: 608-372-4111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for TERI S GJERSETH · (Female)

NPI Number 1538484407
Status Active
Credentials CNM, APNP, FNP-C
Entity Individual
Enumeration date 04/02/2010
Last updated 12/31/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 4404-33
  • WI License # NM148848-032
  • WI Medicaid 1538484407
  • Other CNM0142 AMERICAN MIDWIFERY CERTIFICATION BOARD
  • IA Other B129556 ADVANCED REGISTERED NURSE PRACTITIONER
  • WI Other 4404-33 ADVANCE PRACTICE NURSE PRESCRIBER
  • WI Other 148848-032 CERTIFIED NURSE MIDWIFE
  • WI Other 1538484407 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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