Chris Derr
Adult Companion in Omaha, NE. Individual provider (NPI-1).
NPI number1073494530
StatusActive
Last updated in NPPESSep 10, 2025
Details
- NPI
- 1073494530
- Entity type
- Individual (NPI-1)
- Name
- Chris Derr
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2025
- Certification date
- Sep 10, 2025
- Last updated
- Sep 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
11220 Fort StOmaha, NE 68164-2120
Phone 402-682-7326
Mailing address
11220 Fort StOmaha, NE 68164-2120
Phone 402-682-7326
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