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

Traci Wagoner

Individual provider Family Nurse Practitioner · NPI 1568715712

Traci Wagoner is a Family Nurse Practitioner in Saint Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012

Practice location Address checks out

2424 Zumbehl Rd
Saint Charles, MO 63301-1131
Phone: (636) 443-4202
Fax: (636) 277-7386
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2012033129 (MO)

Record details

NPI number1568715712
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2012
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address2424 Zumbehl Rd, Saint Charles, MO 63301-1131

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