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Ms. Calli Jean Van Dam, AGPCNP
Nurse Practitioner in Bethesda, Maryland
NPI 1205201035

Calli Jean Van Dam is a Nurse Practitioner based in Bethesda, MD. Calli Jean Van Dam practices in Bethesda, MD and has the professional credentials of AGPCNP. The NPI Number for Calli Jean Van Dam is 1205201035 and holds a License No. RN1032619 (Maryland).

The current practice location address for Calli Jean Van Dam is 10215 Fernwood Rd, Bethesda, MD and can be reached out via phone at 301-530-1010 and via fax at 301-897-8597.

Location: 10215 Fernwood Rd, Bethesda, MD, 20817-1184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205201035
Provider Name
Calli Jean Van Dam
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
10215 Fernwood Rd, Bethesda, MD, 20817-1184
Phone Number
301-530-1010
Fax Number
301-897-8597
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024175551 01 VA LICENSE
AC002241 01 MD LICENSE
institution
Provider Business Practice Location Address Details
Address
10215 Fernwood Rd
City
Bethesda
State
Maryland
Zip
20817-1184
Phone Number
301-530-1010
Fax Number
301-897-8597
person
Provider Business Mailing Address Details
Address
10215 Fernwood Rd
City
Bethesda
State
Maryland
Zip
20817-1184
Phone Number
301-530-1010
Fax Number
301-897-8597
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN1032619 (District of Columbia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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