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Organization
DEACONESS CLINIC, INC.
Active
Organization
DEACONESS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
901 SWEETSER AVE, EVANSVILLE, IN 47713-2831
(812) 435-8242
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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