NPI | 1952920852 |
---|---|
Doing Business As | DEACONESS CLINIC ATKINSON |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-12-16 |