Individual provider · Type 1 NPI

Latisha Clark

Home Health Aide · Bellevue, NE

NPI number 1104797802 Active

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.