Healthcare Provider Details

I. General information

NPI: 1851813927
Provider Name (Legal Business Name): SHERYL ANN BAKARE DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERYL ANN SANDERS DNP, APRN

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PINNACLE DR STE 105
PAPILLION NE
68046-6228
US

IV. Provider business mailing address

16313 GRAND AVE
OMAHA NE
68116-4208
US

V. Phone/Fax

Practice location:
  • Phone: 402-505-7989
  • Fax:
Mailing address:
  • Phone: 402-805-8660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112232
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: