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Contact Information

LATISHA BLACK, APRN
810 N 107TH AVE APT 301
OMAHA, NE68114-2042
 Phone: 402-612-1856
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LATISHA BLACK · (Female)

NPI # 1033662242
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/25/2016
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • IA License # H156127
  • NE License # 112100
  • NE License # 56246
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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