Deaconess Clinic INC
NPI #1457824203 in Fort Branch, Indiana
Provider Information
- NPI Number
- 1457824203
- Entity Type
- Organization
- Organization Name
- Deaconess Clinic INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 4, 2019
- Last Updated
- Mar 13, 2019
Practice Location
- Address
- 7898 S PROFESSIONAL DR
- City
- Fort Branch
- State
- Indiana
- ZIP Code
- 47648-8405
- Phone
- (812) 615-5019
Authorized Official
- Name
- CHERYL ANNETTE WATHEN
- Title
- CFO
- Phone
- (812) 450-3296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant |
| Nurse Practitioner |
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