Deaconess Clinic, INC

NPI #1982216495 in Princeton, Indiana

Provider Information

NPI Number: 1982216495
Entity Type: Organization
Organization Name: Deaconess Clinic, INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 1808 SHERMAN DR
City: Princeton
State: Indiana
ZIP Code: 47670-1043
Phone: (812) 385-9420

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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