LAURA WAGNER INC NPI 1487801635

NPI Information

  • NPI: 1487801635
  • Provider Name: LAURA WAGNER, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6 JUNGERMANN CIR
    SUITE 211
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 926-7938

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NPI Details

LAURA WAGNER, INC is a specialist in Saint Peters, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAURA WAGNER, INC NPI is 1487801635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 JUNGERMANN CIR
SUITE 211
SAINT PETERS, MO
ZIP 63376-621
Phone: (636) 926-7938
Fax: (636) 926-2286

The provider's authorized official is Laura Ella Wagner .
The authorized official title is President and has the following contact phone number (636) 926-8554.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistR8N01MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
118374OTHERMISSOURIBCBSMO PROVIDER#
21669445060OTHERMISSOURITYPE 1 NPI
3211386OTHERMISSOURIHEALTHLINK ID#
439228V39228OTHERMISSOURIGHP PROVIDER #
5F58335MEDICARE UPINMISSOURI
64420124OTHERMISSOURIAETNA PROVIDER #
700004839OTHERMISSOURIMEDICARE PTAN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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