Individual
DEREK SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6811 WHITEWATER LN, LINCOLN, NE 68521-8996
(402) 730-0245
Mailing address
6811 WHITEWATER LN, LINCOLN, NE 68521-8996
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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