Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic Neuro Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1413 N ELM ST STE 106, HENDERSON, KY 42420-2776
(812) 477-1560
(812) 477-1595
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/17/2022
Last updated
06/02/2025
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