Organization
DEACONESS CLINC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-9487
(812) 385-9488
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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