| NPI | 1407800998 |
|---|---|
| Doing Business As | DEACONESS RILEY CHILDREN'S SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2080P0216X Pediatrics, Pediatric Rheumatology | |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 1041C0700X Social Worker, Clinical | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-07-06 |