IndividualActive
Annette Van Dam, APRN
NPI 1376914192 · Adult Medicine Physician · Columbus, OH
Provider details
- NPI number
- 1376914192
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3009783 (KY)
Practice location
21 E. State St. Office 233 Columbus, Oh 43215
Offixe 233
Columbus, OH 43215
Phone: (888) 731-8994
Fax: (623) 999-1761
Mailing address
796 Ninevah Rd
Frankfort, KY 40601-7960
Registry dates
- Enumerated
- 2015-10-20
- Last updated
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.