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

Shanda Bonner

Individual provider Contractor · NPI 1609207893

Shanda Bonner is a Contractor in Saint Louis, Missouri. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1504 Park Way Dr
Saint Louis, MO 63130-1245
Phone: (314) 449-4946
Fax: (314) 449-4946
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1609207893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2013
Last updated in NPPESDecember 12, 2013
Mailing address1504 Park Way Dr, Saint Louis, MO 63130-1245

Other providers in Saint Louis