MEDICARE: EMILY CHRISTINA GILBERTSON APRN, CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	249528	WI
2	367500000X	Certified Registered Nurse Anesthetist	3208	MN

General Provider Information

NPI Number	:	1013799394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CHRISTINA GILBERTSON APRN, CRNA

Provider Business Mailing Address
First Line	:	400 E 3RD ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55805-1951
Country	:	US
Telephone Number	:	218-786-8364
Fax Number	:

Provider Business Practice Location Address
First Line	:	5113 MILWAUKEE ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53714-2153
Country	:	US
Telephone Number	:	218-349-0493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	11/06/2025

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