Individual provider · Type 1 NPI

Stephanie K. Van Dam, CNP

Pediatric Nurse Practitioner · Sioux Falls, SD

NPI number 1609327386 Active

Practice location

1600 W 22nd St
Sioux Falls, SD 57105-1521

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCP001165 (SD)
Pediatric Nurse Practitioner 363LP0200XCP001165 (SD)
Pediatric Nurse Practitioner Primary 363LP0200X5494 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1609327386

Stephanie K. Van Dam, CNP's National Provider Identifier is 1609327386, issued on Oct 18, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sioux Falls, SD. The record was last updated on Jun 9, 2022.