Pettus, Angela Marie
Pettus, Angela Marie is an individual health care provider with primary practice located at 4125 State Line Rd , Kansas City MO 64111-4423. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pettus, Angela Marie can be contacted via phone (913) 284-1889.Contact Information
Primary practice address
4125 State Line Rd
Kansas City MO 64111-4423
Phone: (913) 284-1889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2022028087 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 53-81365-091 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2022028087 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 53-81365-091 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2022028087 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 53-81365-091 | Kansas |
Profile Details
| NPI number | 1336873371 |
|---|---|
| LBN Legal business name | Pettus, Angela Marie |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2022 |
| Last updated | Jun 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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