Individual
JENNIFER ALEXANDRIA GERFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
28808 W LAKE DR, MADISON LAKE, MN 56063-4130
(509) 366-5331
Mailing address
28808 W LAKE DR, MADISON LAKE, MN 56063-4130
(509) 366-5331
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1077
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077
TRADITIONAL MIDWIFE LICENSE
MN
01
—
19110017
NORTH AMERICAN REGISTRY OF MIDWIVES
—
Enumeration date
12/31/2019
Last updated
12/31/2019
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