Individual provider · Type 1 NPI
Anne M. Nickodem, MD
Plastic Surgery Physician · Vienna, VA
Practice location
8229 Boone Blvd Ste 365
Vienna, VA 22182-2623
Fax (703) 552-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician Primary | 208200000X | 0101047333 (WV) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1487826491
Anne M. Nickodem, MD's National Provider Identifier is 1487826491, issued on Mar 31, 2008. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Vienna, VA. The record was last updated on Jul 30, 2025.