Individual
DERRICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4021 N 25TH AVE, OMAHA, NE 68111-2918
(531) 225-9818
Mailing address
4021 N 25TH AVE, OMAHA, NE 68111-2918
(531) 225-9818
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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