Individual provider · Type 1 NPI

Angela Marie Pettus, DNP

Nurse Practitioner · Lenexa, KS

NPI number 1336873371 Active

Practice location

8550 Marshall Dr Ste 200
Lenexa, KS 66214-9836

Fax (913) 495-3715

Other practice locations

  • 4125 State Line Rd, Kansas City, MO 64111-4423 · (913) 284-1889
  • 1000 Carondelet Dr # 201B, Kansas City, MO 64114-4673 · (913) 956-2551

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X53-81365-091 (KS)
Adult Health Nurse Practitioner 363LA2200X53-81365-091 (KS)
Nurse Practitioner Primary 363L00000X53-81365-091 (KS)
Nurse Practitioner 363L00000X2022028087 (MO)
Adult Health Nurse Practitioner 363LA2200X2022028087 (MO)
Gerontology Nurse Practitioner 363LG0600X2022028087 (MO)

Nurse Practitioner: (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 wit…

12 other providers at this address

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About NPI 1336873371

Angela Marie Pettus, DNP's National Provider Identifier is 1336873371, issued on Jul 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lenexa, KS. The record was last updated on Aug 17, 2026.