Organization
DEACONESS CLINIC INC
Active
Other names
Deaconess Clinic Derm Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
340 STARLITE DR, HENDERSON, KY 42420-6102
(812) 492-5202
(812) 450-8102
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
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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