Individual
MISS MAGDALENE BAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11807 ALLISONVILLE RD # 508, FISHERS, IN 46038-2313
(317) 286-6778
(317) 981-1925
Mailing address
8470 ALLISON POINTE BLVD STE 130, INDIANAPOLIS, IN 46250-4368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010275A
IN
Other
Enumeration date
07/23/2020
Last updated
07/24/2025
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