ANGEL SUE SQUIRE


Address: 4523 Shady Place Ct, Bowling Green, KY 42104-4423
Phone: 9372850414

ANGEL SUE SQUIRE (NPI# 1699309666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699309666
Entity Type Individual
Full Name ANGEL SUE SQUIRE
Credential APRN - PMHNP
Practice Address 4523 Shady Place Ct
Bowling Green
KY 42104-4423
Practice Telephone 9372850414
Mailing Telephone 9372850414
Enumeration Date 2020-02-27
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN.363146 OH Nursing Service Providers
N 163W00000X Registered Nurse 1143292 KY Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN0000027631 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
3014665 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2459 Mount Victor Ln, Bowling Green, KY 421039061 2709355234 2709355173

Office Location

Street Address 4523 SHADY PLACE CT
City BOWLING GREEN
State KY
Zip Code 42104-4423

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861099269 Bowling Green Psychiatry Nurse Practitioner 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 2020-10-08
1851951818 John Paul Palmer Nurse Practitioner 1608 Glendale Dr, Bowling Green, KY 42104-3133 2019-06-20
1710375050 Cheryl R Gore Nurse Practitioner 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 2015-01-08
1427146950 Cindy S Lemon Nurse Practitioner 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 2006-10-10
1720616212 Onyx Regent Health & Wellness, LLC Nurse Practitioner 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 2020-03-30
1912545468 Rachel Elizabeth Roberts Nurse Practitioner 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 2019-12-16
1457995839 Johnna Marr Nurse Practitioner 1035 Porter Pike, Bowling Green, KY 42103-9581 2019-10-29
1811549413 Alicia Velma Karam Nurse Practitioner 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 2019-07-12
1679032981 Gore Behavioral Care, LLC Nurse Practitioner 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 2019-03-16
1801395967 Mary Kimberly Green Nurse Practitioner 1035 Porter Pike, Bowling Green, KY 42103-9581 2018-02-05
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Competitor

Search similar providers

City BOWLING GREEN
Zip Code 42104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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