Individual
ANITA AGIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2612 BRANTLEY CT, SAINT LOUIS, MO 63129-4736
(314) 337-3271
Mailing address
2612 BRANTLEY CT, SAINT LOUIS, MO 63129-4736
(314) 337-3271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016024284
MO
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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