# ANGELA DAWN PIKE

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

## Provider details

- **NPI number:** 1790065068
- **Gender:** F
- **Credential:** DNP, FNP-C, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2011027232 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2011027232 | MO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 218276 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 53-77463-092 | KS | — |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 03/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790065068 | — | MO |
| 05 | — | 200738960A | — | KS |
| 01 | — | P00991383 | RR MEDICARE | MO |