Individual provider · Type 1 NPI

Miranda Michelle Van Dam, CSFA

Surgical Assistant · Meridian, ID

NPI number 1902565682 Active

Practice location

500 S. Eagle Rd.
Meridian, ID 83642

Mailing address

3595 W Spruce Creek Dr
Meridian, ID 83642-4217

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X205983 (ID)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1902565682

Miranda Michelle Van Dam, CSFA's National Provider Identifier is 1902565682, issued on Dec 10, 2021. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Meridian, ID. The record was last updated on Dec 10, 2021.