Organization
ST MARY'S OHIO VALLEY HEART CARE, LLC
Active
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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