Organization
ST MARY'S OHIO VALLEY HEART CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ENFINGER (EXECUTIVE DIRECTOR)
(812) 473-3754
Entity
Organization
Contact information
Practice address
901 SAINT MARYS DR, STE 300, EVANSVILLE, IN 47714-0520
(812) 473-2642
Mailing address
901 SAINT MARYS DR, STE 300, EVANSVILLE, IN 47714-0520
(812) 473-2642
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
09/20/2010
Last updated
03/03/2011
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