George Leo Squire Jr., CRNP
Nurse Practitioner, Family in Coatesville, PA. Individual provider (NPI-1).
NPI number1720184682
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720184682
- Entity type
- Individual (NPI-1)
- Name
- Mr. George Leo Squire Jr.
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | VP005458B | PA | Yes |
Practice location
1400 Blackhorse Hill RdCoatesville, PA 19320-2040
Phone 610-384-7711
Mailing address
612 W Gay StWest Chester, PA 19380-2855
Phone 484-266-9791
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Family Nurse Practitioner providers in Coatesville · All 827 providers in Coatesville
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