NPI 1487273397 · live from the CMS NPI Registry
Deaconess Clinic, INC
Pediatrics in Henderson, KY. National Provider Identifier 1487273397, active.
NPI record
| NPI | 1487273397 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 2000 N Elm St, Henderson, KY 42420 |
| Practice phone | 270-827-3573 |
| Mailing address | Po Box 1510, Evansville, IN 47706 |
| Enumerated | April 10, 2020 |
| Last updated | June 5, 2020 |
| Authorized official | Cheryl Wathen, Cfo |
| Other names | Deaconess Clinic Pediatrics Elm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.