Most Relevant Information
Provider Data
| NPI Number: | 1003434424 |
| Provider Name: | AMBER BARES RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R0120232 |
Most Important Dates
| Enumeration Date: | 07/13/2020 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
5925 NW 139TH ST
OKLAHOMA CITY
OK
731421922
Practice Location Phone/Fax
| Phone: | 4056218800 |
| Fax: |
Provider Mailing Location
PSC 482 BOX 1600
FPO
AP
963620017
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |