| NPI | 1003159997 |
|---|---|
| Doing Business As | DEACONESS CLINIC I |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2017-08-10 |