Individual provider · Type 1 NPI

Peggy B. Van Dam, RN

Psychiatric/Mental Health Registered Nurse · Midvale, UT

NPI number 1053391599 Active

Practice location

195 W 7200 S
Midvale, UT 84047-3703

Fax (801) 565-6982

Mailing address

618 W 3560 N
Erda, UT 84074-9358

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X208288-3102 (UT)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1053391599

Peggy B. Van Dam, RN's National Provider Identifier is 1053391599, issued on Jan 19, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Midvale, UT. The record was last updated on Jul 13, 2026.