NPI 1881034866 · live from the CMS NPI Registry
Shannon Christine Agner, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Saint Louis, MO. National Provider Identifier 1881034866, active.
NPI record
| NPI | 1881034866 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 1 Childrens Pl, Div Neurology Pediatrics, Ste 2130, Saint Louis, MO 63110 |
| Practice phone | 314-454-6120 |
| Mailing address | Po Box 7412011, Chicago, IL 60674 |
| Enumerated | July 5, 2013 |
| Last updated | April 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 2018021584 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.