Active NPIIndividual providerSole proprietor

Angel S Squire, APRN - PMHNP

Nurse Practitioner, Psych/Mental Health in Bowling Green, Kentucky

NPI Number1699309666
Practice location
5300 Scottsville RD, #50327, Bowling Green, KY 42104
Fax
—
Last updated
March 9, 2021

Angel Sue Squire is a Nurse Practitioner, Psych/Mental Health based in Bowling Green, KY. Angel Sue Squire practices in Bowling Green, KY and has the professional credentials of APRN - PMHNP. The NPI Number for Angel Sue Squire is 1699309666 and holds a License No. RN.363146 (OH). The current practice location address for Angel Sue Squire is 5300 Scottsville RD, #50327, Bowling Green, KY 42104 and can be reached out via phone at 615-813-0726.

Provider Profile Details

NPI Number
1699309666
Provider Name
Angel Sue Squire
Credential
APRN - PMHNP
Provider Entity Type
Individual
Gender
Female
Address
5300 Scottsville RD, #50327, Bowling Green, KY 42104
Phone Number
615-813-0726
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2020
Last Update Date
March 9, 2021
Certification Date
March 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
5300 Scottsville RD
#50327
Bowling Green, KY 42104
Zip
42104
Phone Number
615-813-0726
Bowling Green, KY 42104Get directions →

Provider Business Mailing Address Details

Address
Po Box 50327
Bowling Green, KY 42102-2927
City
Bowling Green
State
KY
Zip
42102-2927
Phone Number
615-813-0726

License Information

License Number (1)
RN.363146
License State (1)
OH
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
1143292
License State (2)
KY
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
APN0000027631
License State (3)
TN
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
F403253-01
License State (4)
NY
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (5)
APRN.CNP.0027948
License State (5)
OH
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (6)
3014665
License State (6)
KY
Taxonomy (6)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angel S Squire, APRN - PMHNP?

The NPI number of Angel S Squire, APRN - PMHNP is 1699309666. It was assigned on February 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Angel S Squire, APRN - PMHNP?

Angel S Squire, APRN - PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in OH under license number RN.363146.

Where does Angel S Squire, APRN - PMHNP practice?

The practice location is 5300 Scottsville RD, #50327, Bowling Green, KY 42104. The office can be reached at 615-813-0726 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699309666 directly on the NPPES registry website.

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