Provider Demographics
NPI:1851199632
Name:DETCHES, CHRISTY LYNN
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:DETCHES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 S 130TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2914
Mailing Address - Country:US
Mailing Address - Phone:402-415-6577
Mailing Address - Fax:
Practice Address - Street 1:704 S 75TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4621
Practice Address - Country:US
Practice Address - Phone:402-415-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion