Individual provider · Type 1 NPI

Liem Nguyen Nickelson, A.A.

Anesthesiologist Assistant · St. Louis, MO

NPI number 1760764138 Active

Practice location

3635 Vista Ave
St. Louis, MO 63110-2539

Call (314) 577-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X2011030647 (MO)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1760764138

Liem Nguyen Nickelson, A.A.'s National Provider Identifier is 1760764138, issued on Sep 12, 2011. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 21, 2017.