Individual provider · Type 1 NPI

Larry Derksen Jr.

Home Health Aide · Omaha, NE

NPI number 1053109447 Active

About NPI 1053109447

Larry Derksen Jr.'s National Provider Identifier is 1053109447, issued on Apr 28, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Omaha, NE. The record was last updated on Apr 28, 2025.