| NPI | 1518501675 |
|---|---|
| Doing Business As | DEACONESS CLINIC - URGENT CARE HENDERSON |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |