KRISTINE MARIE CARDINAL (NPI# 1093203069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093203069 |
| Entity Type | Individual |
| Full Name | KRISTINE MARIE CARDINAL |
| Credential | FNP-C |
| Practice Address |
745 Buena Vista Dr Lander WY 82520-3431 |
| Mailing Address |
460 Fremont St Lander WY 82520-3918 |
| Practice Telephone | 3073322941 |
| Mailing Telephone | 3073499272 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21666.1738 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
745 BUENA VISTA DR |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303216 | Jan K. Siebersma | Obstetrics & Gynecology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2005-06-01 |
| 1558912477 | Susan Gail Wolff | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2019-09-23 |
| 1538688015 | Anna Felton | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-09-15 |
| 1699200451 | Regina Ommen | Advanced Practice Midwife | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-04-28 |
| 1861821837 | Julia Fairbank | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-11-10 |
| 1073856225 | Broc Codi White | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-04-05 |
| 1700123288 | Gannett Peak Physical Medicine LLC | Physical Medicine & Rehabilitation | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-01-03 |
| 1407109762 | Michael R. Swenson | Psychiatry & Neurology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2012-10-23 |
| 1073811584 | Shirley E Schatza | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2011-03-08 |
| 1245556190 | Clinton Mcmahill | Internal Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2010-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548095 | Melissa Marie Winn | Nurse Practitioner | 8204 Highway 789, Lander, WY 82520 | 2007-03-22 |
| 1730203613 | Kathleen Ann Petro | Nurse Practitioner | 535 E Main St, Lander, WY 82520-3470 | 2007-03-18 |
| 1235228388 | Anthony George Leonard | Nurse Practitioner | 175 N 1st St, Lander, WY 82520-2803 | 2006-10-12 |
| 1801860507 | Margaret Ann Easley | Nurse Practitioner | 930 Buena Vista Dr, Lander, WY 82520-3447 | 2006-02-17 |
| 1538688015 | Anna Felton | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-09-15 |
| 1164781696 | Jacqueline A Meyer | Nurse Practitioner | 115 Wyoming St, Lander, WY 82520-3919 | 2012-05-03 |
| 1073811584 | Shirley E Schatza | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2011-03-08 |
| 1306076112 | Barbara Wellman | Nurse Practitioner | 748 Main St, Lander, WY 82520-3036 | 2009-07-15 |
| 1871623124 | Popo Agie Women's Clinic, Inc | Nurse Practitioner | 1460 Main St, Lander, WY 82520-2657 | 2007-03-06 |
| 1467499244 | Patricia Declue | Nurse Practitioner | 1460 Main St, Lander, WY 82520-2657 | 2006-06-01 |
| Find all providers in LANDER | ||||
Please comment or provide details below to improve the information on KRISTINE MARIE CARDINAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.