| NPI | 1790543072 |
|---|---|
| Doing Business As | DEACONESS CLINIC - AT WORK WEST |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |