| Angela Christine Pettis, LPN | |
|
1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 | |
| (636) 923-2399 | |
| Not Available |
| Full Name | Angela Christine Pettis |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1 Meramec Bluffs Dr, Ballwin, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053056143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2003026650 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Christine Pettis, LPN 40 Meramec Trail Dr, Ballwin, MO 63021-3331 Ph: (636) 923-2399 | Angela Christine Pettis, LPN 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 Ph: (636) 923-2399 |
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› Verified 7 days ago
Amanda Pickett, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 40 Meramec Trail Dr, Ballwin, MO 63021 Phone: 636-923-2361 |