Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Van Dam, FNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1629887260

Amber Van Dam, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Banner - University Super Specialists LLC, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1441 N 12th St
Phoenix, AZ 85006-2837
Phone: (602) 521-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 237509 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 237509 (AZ)

Record details

NPI number1629887260
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESApril 9, 2025
Certification dateMarch 20, 2025
Mailing address12544 W Alegre Dr, Litchfield Park, AZ 85340-5540

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Banner - University Super Specialists Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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