Individual
MESSIE SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
990 CODY RD, MOBILE, AL 36608
(251) 444-1100
(251) 460-9315
Mailing address
PO BOX 2048, MOBILE, AL 36652-2048
(251) 432-4117
(251) 436-7765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1191874
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-191874
STATE LICENSE
AL
Enumeration date
11/29/2022
Last updated
11/29/2022
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