STEPHANIE K VAN DAM

SIOUX FALLS, SD
NPI1609327386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  5494)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001165)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: SD  CP001165)
Enumeration Date2016-10-18
Last Update Date2022-06-09
Business Address
STEPHANIE K VAN DAM CNP
1600 W 22ND ST
SIOUX FALLS, SD 57105-1521
Phone number: 605-333-1000
Mailing Address
STEPHANIE K VAN DAM CNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585