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Contact Information

ST. MARY'S PHYSICIAN NETWORK LLC.
3700 WASHINGTON AVENUE
EVANSVILLE, IN47750-0001
 Phone: 812-485-1220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ST MARYS PHYSICIAN NETWORK LLC · (Female)

NPI Number 1639114143
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2006
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200829650
  • KY Medicaid 65945420
  • IN Other DF3251 RR MEDICARE GRP#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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