Individual provider · Type 1 NPI
Latisha Clark
Home Health Aide · Bellevue, NE
NPI number
1104797802
Active
Practice location
12901 S 29th Pl
Bellevue, NE 68123-3218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide Primary | 374U00000X | None listed |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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About NPI 1104797802
Latisha Clark's National Provider Identifier is 1104797802, issued on Sep 15, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Bellevue, NE. The record was last updated on Sep 15, 2025.