Individual
MS. THALIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
615 S. NEW BALLAS RD. DEPT OF ANESTHESIA, ST. LOUIS, MO 63141
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR., BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1053
FL
367H00000X
Anesthesiologist Assistant
PENDING
MO
Other
Enumeration date
05/23/2024
Last updated
04/09/2025
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