Van Dam, Stephanie K
Van Dam, Stephanie K is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Van Dam, Stephanie K can be contacted via phone (605) 333-1000.Contact Information
Primary practice address
1600 W 22Nd St
Sioux Falls SD 57105-1521
Phone: (605) 333-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP001165 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CP001165 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5494 | Minnesota |
Profile Details
| NPI number | 1609327386 |
|---|---|
| LBN Legal business name | Van Dam, Stephanie K |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2016 |
| Last updated | Jun 9th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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