Individual
TERI S. GJERSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APNP, FNP-C
Contact information
Practice address
505 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-4111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4404-33
WI
367A00000X
Advanced Practice Midwife
NM148848-032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148848-032
CERTIFIED NURSE MIDWIFE
WI
01
—
1538484407
NPI
WI
05
—
1538484407
—
WI
01
—
4404-33
ADVANCE PRACTICE NURSE PRESCRIBER
WI
01
—
B129556
ADVANCED REGISTERED NURSE PRACTITIONER
IA
01
—
CNM0142
AMERICAN MIDWIFERY CERTIFICATION BOARD
—
Enumeration date
04/02/2010
Last updated
12/31/2025
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