Individual provider · Type 1 NPI

Courtney Ann Wagner, PA-C

Physician Assistant · Chesterfield, MO

NPI number 1073818878 Active

Practice location

16100 Chesterfield Pkwy W Ste 175
Chesterfield, MO 63017

Fax (314) 735-1625

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2018002158 (MO)
Physician Assistant Primary 363A00000X2018002158 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073818878

Courtney Ann Wagner, PA-C's National Provider Identifier is 1073818878, issued on Jan 26, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chesterfield, MO. The record was last updated on Sep 17, 2025.