Individual
LINDSAY K VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
485 S DOBSON RD STE 101, CHANDLER, AZ 85224-5603
(480) 728-4981
(480) 728-4985
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166378
AZ
363LA2100X
Acute Care Nurse Practitioner
220794
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
220794
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220794
NURSE PRACTITIONER
AZ
01
—
RN166378
NURSING LICENSE
AZ
Enumeration date
11/19/2018
Last updated
06/27/2025
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