Individual provider · Type 1 NPI
Erin Pettus
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1013745140
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Fax (816) 302-9939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 53-83362-061 (KS) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2024026753 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1013745140
Erin Pettus's National Provider Identifier is 1013745140, issued on Jul 22, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Aug 2, 2024.