| NPI | 1275289621 |
|---|---|
| Doing Business As | DEACONESS CLINIC DERM HENDERSON |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |