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

Shaun Wagner

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1518281336

Shaun Wagner is a Psychiatric/Mental Health Registered Nurse in Culver City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 945-3356
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95021557 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 443697 (CA)

Record details

NPI number1518281336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2010
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

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