Individual provider · Type 1 NPI
Annette Van Dam, APRN
Adult Medicine Physician · Columbus, OH
NPI number
1376914192
Active
Practice location
21 E. State St. Office 233 Columbus, Oh 43215, Offixe 233
Columbus, OH 43215
Fax (623) 999-1761
Mailing address
796 Ninevah Rd
Frankfort, KY 40601-7960
Other practice locations
- 796 Ninevah Rd, Frankfort, KY 40601-7960 · (606) 215-0525
- 312 S 4th St Ste 700, Louisville, KY 40202-3046 · (888) 731-8994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 3009783 (KY) |
| Adult Medicine Physician Primary | 207QA0505X | 3009783 (KY) |
| Integrative Medicine Physician | 202D00000X | 3009783 (KY) |
| Nurse Practitioner | 363L00000X | 3009783 (KY) |
| Family Nurse Practitioner | 363LF0000X | 3009783 (KY) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Columbus
About NPI 1376914192
Annette Van Dam, APRN's National Provider Identifier is 1376914192, issued on Oct 20, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Columbus, OH. The record was last updated on Apr 23, 2026.