Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MS. PEGGY B VAN DAM RN
NPI 1053391599
Registered Nurse - Psychiatric/Mental Health in Midvale, UT
Active since January 19, 2006
About Ms. Peggy B Van Dam Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PEGGY B VAN DAM RN (NPI 1053391599) is an individual psychiatric/mental health provider in Midvale, Utah, licensed in Utah (208288-3102) and active in the NPI registry since January 2006.
NPPES Registry Identity
NPI1053391599
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. PEGGY B VAN DAMCredential: RN
Location Address195 W 7200 SMidvale, UT 84047-3703
Mailing Address618 W 3560 NErda, UT 84074-9358 · (435) 833-0257 · Fax (435) 833-0391
Phone(801) 565-6998
Fax(801) 565-6982
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1053391599 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in UT · 208288-3102
195 W 7200 S, Midvale, UT 84047
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
195 W 7200 S
MIDVALE, UT 84047
MIDVALE, UT 84047
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053391599, enumerated as an "individual" on January 19, 2006.
The provider is located at 195 W 7200 S MIDVALE, UT 84047 and the phone number is (801) 565-6998.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
