Gjerseth, Teri S.

Gjerseth, Teri S. is an sole proprietor health care provider with primary practice located at 505 Gopher Dr , Tomah WI 54660-4513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gjerseth, Teri S. can be contacted via phone (608) 372-4111.

Contact Information

Primary practice address
505 Gopher Dr Tomah WI 54660-4513
Phone: (608) 372-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4404-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM148848-032 Wisconsin

Profile Details

NPI number 1538484407
LBN Legal business name Gjerseth, Teri S.
Credentials CNM, APNP, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2010
Last updated Sep 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538484407 NPPES
Wisconsin MEDICAID 1538484407
Wisconsin Other 4404-33
Wisconsin Other B129556
Wisconsin Other CNM0142
Wisconsin Other 148848-032
Wisconsin Other 1538484407

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