Individual provider · Type 1 NPI

Calli Jean Van Dam, AGPCNP

Nurse Practitioner · Bethesda, MD

NPI number 1205201035 Active

Practice location

10215 Fernwood Rd, Ste 506
Bethesda, MD 20817-1184

Fax (301) 897-8597

Other practice locations

  • 2150 Pennsylvania Ave NW, Washington, DC 20037-3201 · (202) 741-3300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN1032619 (DC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205201035

Calli Jean Van Dam, AGPCNP's National Provider Identifier is 1205201035, issued on Dec 4, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bethesda, MD. The record was last updated on Mar 5, 2019.