Shanda Bonner
Contractor · Saint Louis, MO
NPI number
1609207893
Practice location
1504 Park Way DrSaint Louis, MO 63130-1245
- Phone
- (314) 449-4946
- Fax
- (314) 449-4946
NPI record
- NPI
- 1609207893
- Entity type
- Individual (Type 1)
- Enumeration date
- December 12, 2013
- Last updated
- December 12, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Shanda Bonner
Shanda Bonner is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1504 Park Way Dr, Saint Louis, MO 63130-1245. The NPI number 1609207893 was assigned on December 12, 2013 and the record was last updated on December 12, 2013.
Frequently asked questions
What is the NPI number of Shanda Bonner?
The NPI number is 1609207893.
What is the phone number of Shanda Bonner?
The phone number listed for the practice location is (314) 449-4946.
Where is Shanda Bonner located?
1504 Park Way Dr, Saint Louis, MO 63130-1245.
What is the taxonomy code for Shanda Bonner?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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