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STEPHANIE K VAN DAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CP001165
SD
363LP0200X
Pediatric Nurse Practitioner
Primary
5494
MN
363LP0200X
Pediatric Nurse Practitioner
CP001165
SD

Other

Enumeration date
10/18/2016
Last updated
06/09/2022
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