Deaconess Clinic, INC

NPI #1790397206 in Princeton, Indiana

Provider Information

NPI Number: 1790397206
Entity Type: Organization
Organization Name: Deaconess Clinic, INC
Primary Specialty: Pediatrics
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 312 3RD AVE
City: Princeton
State: Indiana
ZIP Code: 47670-1014
Phone: (812) 386-6776

Authorized Official

Name: CHERYL ANNETTE WATHEN
Title: CFO
Phone: (812) 450-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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