Healthcare Provider Details

I. General information

NPI: 1104108166
Provider Name (Legal Business Name): ANNE G GILBERTSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 BROADWAY ST
ALEXANDRIA MN
56308-2537
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 320-762-0399
  • Fax: 320-762-6847
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCM000115
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR199603-2
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: