Provider Demographics
NPI:1598340762
Name:GENGELBACH, ANGELA LAUREN (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LAUREN
Last Name:GENGELBACH
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 NW PLOTSKY AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64477-9511
Mailing Address - Country:US
Mailing Address - Phone:816-813-3285
Mailing Address - Fax:913-274-3578
Practice Address - Street 1:9787 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-6208
Practice Address - Country:US
Practice Address - Phone:816-408-3717
Practice Address - Fax:816-429-9762
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79901-041363L00000X
MO2020022830363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner