Latisha Black, APRN

NPI #1033662242 in Omaha, Nebraska

Provider Information

NPI Number
1033662242
Entity Type
Individual
Name
Latisha Black, APRN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Credential
APRN
Enumeration Date
Jul 25, 2016
Last Updated
Nov 13, 2025

Practice Location

Address
810 N 107TH AVE APT 301
City
Omaha
ZIP Code
68114-2042
Phone
(402) 612-1856

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology
Registered Nurse

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