Provider Demographics
NPI:1710876602
Name:DECKERT, NADINE MARGARET
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:MARGARET
Last Name:DECKERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7714 S 155TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-7469
Mailing Address - Country:US
Mailing Address - Phone:402-490-4776
Mailing Address - Fax:
Practice Address - Street 1:11805 N 159TH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-7431
Practice Address - Country:US
Practice Address - Phone:402-212-8503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion