Provider Demographics
NPI:1851813927
Name:BAKARE, SHERYL ANN (DNP/APRN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANN
Last Name:BAKARE
Suffix:
Gender:F
Credentials:DNP/APRN
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP/APRN
Mailing Address - Street 1:4321 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2131
Mailing Address - Country:US
Mailing Address - Phone:402-562-7500
Mailing Address - Fax:402-564-0611
Practice Address - Street 1:2740 N CLARKSON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-7702
Practice Address - Country:US
Practice Address - Phone:402-721-0951
Practice Address - Fax:402-564-0611
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112232363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026721202Medicaid
NE10026721203Medicaid