| NPI | 1659993582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2021-05-26 |