Thanh-Thao Nguyen, PA-C
Physician Assistant in Saint Louis, MO. Individual provider (NPI-1).
NPI number1982156337
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1982156337
- Entity type
- Individual (NPI-1)
- Name
- Thanh-Thao Nguyen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2016
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2016037335 | MO | Yes |
Practice location
10010 Kennerly Rd3 Southbridge
Saint Louis, MO 63128-2106
Phone 314-525-1328 · Fax 314-525-1378
Mailing address
10010 Kennerly Rd3 Southbridge
Saint Louis, MO 63128-2106
Phone 314-525-1328 · Fax 314-525-1378
Other practice locations
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Saint Louis, MO 63131-2329
Phone 314-996-5772
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