Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDA BONNER
ActiveSHANDA BONNER is a Contractor healthcare provider located in SAINT LOUIS, Missouri. NPI 1609207893 is currently active in the NPPES registry. Verify at CMS.
Contractor · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1609207893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2013 (12.677171836647 yrs)
- Last Updated
- Dec 12, 2013
Practice Information
- Address
-
1504 PARK WAY DRSAINT LOUIS, MO, 631301245Browse MO providers · Browse ZIP 63130
- Phone
- 3144494946
- Fax
- 3144494946
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. KWAKU BOAFO MANU | — | 1255534574 |
| MARY V RACKOVAN | COTA | 1891991964 |
| LISA ANN CLANCY | PT | 1881893865 |
| MR. MICHAEL EDWARD HANLON | LPTA | 1376798090 |
| TIMOTHY JAMES NIEDER | C.PED | 1467781633 |
| MRS. DEBORAH SANTOYO | PMP | 1922309137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.