| NPI | 1184171993 |
|---|---|
| Doing Business As | DEACONESS CLINIC I |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-10-26 |