Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anne M. Nickodem, MD PC

Organization Plastic Surgery Physician · NPI 1205916871

Anne M. Nickodem, MD PC is a Plastic Surgery Physician in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8229 Boone Blvd Ste 365
Vienna, VA 22182-2623
Phone: (703) 560-8711
Fax: (703) 560-8725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 0101047333 (VA)

Record details

NPI number1205916871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Nickodem — President · (703) 560-8711
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address8229 Boone Blvd Ste 365, Vienna, VA 22182-2623

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