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NPI Code Detail

MEDICARE: NANCY SQUIRES MD

MEDICARE: NANCY SQUIRES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC1-0003883DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841299906
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY SQUIRES MD
Provider Business Mailing Address
First Line : 32335 DUPONT BLVD
Second Line :
City : DAGSBORO
State : DE
Zip : 19939
Country : US
Telephone Number : 302-732-8400
Fax Number : 302-732-8404
Provider Business Practice Location Address
First Line : 32335 DUPONT BLVD
Second Line :
City : DAGSBORO
State : DE
Zip : 19939
Country : US
Telephone Number : 302-732-8400
Fax Number : 302-732-8404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/24/2014

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Directions to “ NANCY SQUIRES MD” Practice Location

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