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Angela Christine Pettis, LPN
Licensed Practical Nurse in Ballwin, Missouri
NPI 1053056143

Angela Christine Pettis is a Licensed Practical Nurse based in Ballwin, MO. Angela Christine Pettis practices in Ballwin, MO and has the professional credentials of LPN. The NPI Number for Angela Christine Pettis is 1053056143 and holds a License No. 2003026650 (Missouri).

The current practice location address for Angela Christine Pettis is 1 Meramec Bluffs Dr, Ballwin, MO and can be reached out via phone at 636-923-2399.

Location: 1 Meramec Bluffs Dr, Ballwin, MO, 63021-3331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053056143
Provider Name
Angela Christine Pettis
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1 Meramec Bluffs Dr, Ballwin, MO, 63021-3331
Phone Number
636-923-2399
Fax Number
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Meramec Bluffs Dr
City
Ballwin
State
Missouri
Zip
63021-3309
Phone Number
636-923-2399
Fax Number
person
Provider Business Mailing Address Details
Address
1 Meramec Bluffs Dr
City
Ballwin
State
Missouri
Zip
63021-3309
Phone Number
636-923-2399
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2003026650 (Missouri)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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