Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic - Pediatrics Princeton
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
312 3RD AVE, PRINCETON, IN 47670-1014
(812) 386-6776
(812) 386-6405
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 386-6776
(812) 386-6405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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