Provider Demographics
NPI:1518370501
Name:BAKARE, RUTH
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:BAKARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11229 QUEEN ANNE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7010
Mailing Address - Country:US
Mailing Address - Phone:405-476-5544
Mailing Address - Fax:
Practice Address - Street 1:11229 QUEEN ANNE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7010
Practice Address - Country:US
Practice Address - Phone:405-476-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide