| NPI | 1619755329 |
|---|---|
| Doing Business As | DEACONESS WOUND CARE - GATEWAY MOB 6 |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |