Individual
JULIE K VANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1100 E. 21ST ST., STE. 401, SIOUX FALLS, SD 57105
(605) 322-7300
(605) 322-7301
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0321
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6823252
—
SD
Enumeration date
02/27/2006
Last updated
02/27/2008
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