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Organization
DEACONESS CLINC INC
Active
Organization
DEACONESS CLINC INC
Active
Other names
DC at Work Mt. Pleasant
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
8600 N KENTUCKY AVE, EVANSVILLE, IN 47725-6302
(812) 490-8503
(812) 858-4586
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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