Individual
ANGEL SUE SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN - PMHNP
Contact information
Practice address
5300 SCOTTSVILLE RD, #50327, BOWLING GREEN, KY 42104
(615) 813-0726
Mailing address
PO BOX 50327, BOWLING GREEN, KY 42102-2927
(615) 813-0726
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us