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Individual
ANGEL SUE SQUIRE
Active
Individual
ANGEL SUE SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN - PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1143292
KY
163W00000X
Registered Nurse
RN.363146
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014665
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0000027631
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0027948
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F403253-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100691750
—
KY
Enumeration date
02/27/2020
Last updated
03/09/2021
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