MEDICARE: BAMBI MICHELLE CARDINAL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71010473A	IN

General Provider Information

NPI Number	:	1952915951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAMBI MICHELLE CARDINAL FNP

Provider Business Mailing Address
First Line	:	3512 STELLHORN RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4631
Country	:	US
Telephone Number	:	260-483-9081
Fax Number	:	260-483-9196

Provider Business Practice Location Address
First Line	:	3512 STELLHORN RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4631
Country	:	US
Telephone Number	:	260-483-9081
Fax Number	:	260-483-9196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2020
Last Update Date	:	04/13/2026

Similar Medicare Providers

1235073958 — MONARCA COUNSELING LLC
Practice Location Address:

3514 STELLHORN RD
FORT WAYNE, IN
46815-4631

Practice Phone: 260-255-6836
Practice Fax:

1720077654 — MS. JILL FRESHOUR LCSW
Practice Location Address:

3512 STELLHORN RD
FORT WAYNE, IN
46815-4631

Practice Phone: 260-483-9081
Practice Fax:

1962490839 — MRS. PEGGY A RYAN APRN,BC,ANP
Practice Location Address:

3512 STELLHORN RD
FORT WAYNE, IN
46815-4631

Practice Phone: 260-483-9081
Practice Fax:

1972584043 — VAHID-DAVID SEDAGHAT M.D.
Practice Location Address:

3512 STELLHORN RD
FORT WAYNE, IN
46815-4631

Practice Phone: 260-483-9081
Practice Fax: 260-483-9196

1497730535 — NINA D SCOTT NP
Practice Location Address:

3512 STELLHORN RD , SUITE 100
FORT WAYNE, IN
46815-4631

Practice Phone: 260-483-9081
Practice Fax: 260-483-9196

1932201175 — MRS. FERN O MCHENRY NP
Practice Location Address:

3512 STELLHORN RD
FORT WAYNE, IN
46815-4631

Practice Phone: 260-483-9081
Practice Fax: 260-483-9196

Directions to “ BAMBI MICHELLE CARDINAL FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.