Individual
ABBY NIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
542 OAKTREE CROSSING CT, BALLWIN, MO 63021-7474
(314) 779-4426
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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