Provider Demographics
NPI:1780228890
Name:OAKLEY, BETHEL BASIGA
Entity Type:Individual
Prefix:MRS
First Name:BETHEL
Middle Name:BASIGA
Last Name:OAKLEY
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 1:3960 E PATRICK LN STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4902
Mailing Address - Country:US
Mailing Address - Phone:702-855-3382
Mailing Address - Fax:702-855-3384
Practice Address - Street 1:3960 E PATRICK LN STE 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4902
Practice Address - Country:US
Practice Address - Phone:702-855-3382
Practice Address - Fax:702-855-3384
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant