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Derek Shouse

NPI 1851106330 · on the registry since 2025

Practice

Address
6811 Whitewater Ln
Lincoln, NE 68521
Phone
(402) 730-0245

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
373H00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska