| NPI | 1093143216 |
|---|---|
| Doing Business As | DEACONESS CLINIC I |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2017-08-10 |