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Angela Marie Pettus, DNP
Nurse Practitioner in Kansas City, Missouri
NPI 1336873371

Angela Marie Pettus is a Nurse Practitioner based in Shawnee, MO. Angela Marie Pettus practices in Kansas City, MO and has the professional credentials of DNP. The NPI Number for Angela Marie Pettus is 1336873371 and holds a License No. 2022028087 (Missouri).

The current practice location address for Angela Marie Pettus is 4125 State Line Rd, Kansas City, MO and can be reached out via phone at 913-284-1889.

Location: 4125 State Line Rd, Kansas City, MO, 66216-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336873371
Provider Name
Angela Marie Pettus
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
4125 State Line Rd, Kansas City, MO, 66216-1402
Phone Number
913-284-1889
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4125 State Line Rd
City
Kansas City
State
Missouri
Zip
64111-4423
Phone Number
913-284-1889
Fax Number
person
Provider Business Mailing Address Details
Address
4125 State Line Rd
City
Kansas City
State
Missouri
Zip
64111-4423
Phone Number
913-284-1889
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2022028087 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
53-81365-091 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2022028087 (Missouri)
Definition
Definition to come...
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