Individual provider · Type 1 NPI
Latisha Black, APRN
Gerontology Nurse Practitioner · Omaha, NE
NPI number
1033662242
Active
Practice location
810 N 107th Ave Apt 301
Omaha, NE 68114-2042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | H156127 (IA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 112100 (NE) |
| Registered Nurse | 163W00000X | 56246 (NE) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1033662242
Latisha Black, APRN's National Provider Identifier is 1033662242, issued on Jul 25, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Omaha, NE. The record was last updated on Nov 13, 2025.