# LISA ANN VAN GERPEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841262607
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 0020 | SD | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 07/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005970 | BLUE CROSS | SD |
| 05 | — | 023225400 | — | MN |
| 01 | — | 0702889 | MEDICA | SD |
| 05 | — | 0745760 | — | IA |
| 05 | — | 10025071600 | — | NE |
| 01 | — | 11205 | MIDLANDS CHOICE | SD |
| 01 | — | 1765 | DAKOTACARE | SD |
| 01 | — | 25996 | SANFORD HEALTH PLANS | SD |
| 01 | — | 370624200 | DEPT OF LABOR | SD |
| 01 | — | 50F31HA | CC SYSTEMS/BLUE PLUS | MN |
| 01 | — | 557851022965 | PREFERRED ONE | SD |
| 01 | — | 57105AF02 | WPS TRICARE | SD |
| 05 | — | 6540080 | — | SD |
| 05 | — | 6540082 | — | SD |
| 01 | — | 822898 | ARAZ/ AMERICA'S PPO | SD |
| 01 | — | HP32386 | HEALTHPARTNERS | SD |
