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
2007 W FRANKLIN ST STE B, EVANSVILLE, IN 47712-5112
(812) 422-7244
(812) 421-9180
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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