# ANGELA MARIE PETTUS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336873371
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2022028087 | MO | — |
| 363L00000X | Nurse Practitioner | 53-81365-091 | KS | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 2022028087 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 53-81365-091 | KS | — |
| 363LG0600X | Gerontology Nurse Practitioner | 2022028087 | MO | — |
| 363LG0600X | Gerontology Nurse Practitioner | 53-81365-091 | KS | — |

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 08/17/2026