NPI 1043997190

Nick Balarama Rodriguez, AA

Practitioner Anesthesiologist Assistant Saint Louis, MO

Practice location

Address: 615 S New Ballas Rd Dept of, Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
Mailing address: 800 Bradbury Dr SE STE 116, Albuquerque, NM 87106-4310

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA2024-0006 (NM)

Other Anesthesiologist Assistant providers in Missouri →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence PENDING (MO)

Registry record

NPI: 1043997190
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2023
Record last updated: 4 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.