# ANGEL SUE SQUIRE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699309666
- **Gender:** F
- **Credential:** APRN - PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1143292 | KY | — |
| 163W00000X | Registered Nurse | RN.363146 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3014665 | KY | Yes |
| 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

- **Enumeration date:** 02/27/2020
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100691750 | — | KY |