Individual
LISA ANN VAN GERPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0020
SD
Other
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
Enumeration date
02/06/2006
Last updated
07/03/2014
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