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
813 E 4TH ST, MOUNT VERNON, IN 47620-2012
(812) 450-2772
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-2772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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