Liem Nickelson, A.A

NPI 1760764138 · on the registry since 2011 · sole proprietor

Practice

Address: 3635 Vista Ave
Saint Louis, MO 63110
Phone: (314) 577-8000
Organisation at this address: Ssm-Sluh Inc
Slh Vista, Inc.
Slh Vista, Inc.
Slh Vista, Inc.
Slh Vista, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 146

Registry record

Primary taxonomy: 367H00000X
367H00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri