George Leo Squire Jr., CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP005458B Issued in PA

Practice address

1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040

Phone

(610) 384-7711

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720184682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802855",
            "telephone_number": "484-266-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKHORSE HILL RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202040",
            "telephone_number": "610-384-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "GEORGE",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP005458B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Solovitz, M.D.
• Alexandra Sonyey
• Johanna Javens Spangenberg, PT
• Aila Johanna Spiegel, PHARM.D.
• Chelsea Spiegelhalder, P.A.-C
• Mahalakshmi Srinivasan, MD
• Joaquin J Stable, MD
• Aimee Joyce Stabley, PA-C
• Dianne Stachowski, RN
• Denise Ann Stahl, RN, MSN, ACHPN

• Family Nurse Practitioner in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.