DAVID J VAN DAM CRNA - NPI 1033137153 - Nurse Anesthetist, Certified Registered in Warren, MI

Q: What is David Van Dam's NPI number?

The NPI number for David Van Dam is 1033137153. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is David Van Dam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for David Van Dam was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About David J Van Dam Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID J VAN DAM CRNA (NPI 1033137153) is an individual nurse anesthetist, certified registered in Warren, Michigan, licensed in Michigan (4704115131) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1033137153

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDAVID J VAN DAMCredential: CRNA

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472 · (586) 573-5260 · Fax (586) 573-5364

Phone(586) 573-5260

Fax(586) 573-5364

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033137153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704115131

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

11800 E 12 MILE RD, Warren, MI 48093

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