Individual
AMBER BARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5925 NW 139TH ST, OKLAHOMA CITY, OK 73142-1922
(405) 621-8800
Mailing address
PSC 482 BOX 1600, FPO, AP 96362-0017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0120232
OK
363LF0000X
Family Nurse Practitioner
Primary
200542
OK
Other
Enumeration date
07/13/2020
Last updated
08/25/2021
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