Healthcare Provider Details

I. General information

NPI: 1659275246
Provider Name (Legal Business Name): AMINAT BAKARE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9025 W LAWRENCE AVE
MILWAUKEE WI
53225-5038
US

IV. Provider business mailing address

5374 N 68TH ST
MILWAUKEE WI
53218-2901
US

V. Phone/Fax

Practice location:
  • Phone: 414-393-4300
  • Fax: 414-393-4315
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number33047-31
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: