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

Miranda Michelle Van Dam, CSFA

Individual provider Surgical Assistant · NPI 1902565682

Miranda Michelle Van Dam, CSFA is a Surgical Assistant in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

500 S Eagle Rd
Meridian, ID 83642
Phone: (208) 706-8101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 205983 (ID)

Record details

NPI number1902565682
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 6, 2021
Mailing address3595 W Spruce Creek Dr, Meridian, ID 83642-4217

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