Latisha Black
Nurse Practitioner - Gerontology
810 N 107th Ave Apt 301
Omaha
, Nebraska 68114-2042
Latisha Black
Nurse Practitioner - Gerontology
810 N 107th Ave Apt 301
Omaha
, Nebraska 68114-2042
(402) 612-1856
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Latisha Black
- 810 N 107th Ave Apt 301
- Omaha, NE
- Zip : 68114-2042
- Phone : (402) 612-1856
Second Address
- Latisha Black
- 810 N 107th Ave Apt 301
- Omaha, NE
- Zip : 68114-2042
- Phone : (402) 612-1856
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FAQs
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What type of doctor is Latisha Black
In what state does Latisha Black practice in?
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Is Latisha Black accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 112100 | NE |
National Provider Identifier
| NPI | 1033662242 |
|---|---|
| Provider Name | Latisha Black |
| First Address | Omaha, NE 68114-2042 |
| Second Address | Omaha, NE 68114-2042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2016 |
| Last Update Date | 06/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.