Individual provider · Type 1 NPI

Latisa Clark, LPN

Licensed Practical Nurse · Milford, DE

NPI number 1295225431 Active

Practice location

769 E Masten Cir Ste 113
Milford, DE 19963-1268

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL2-0012231 (DE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5 other providers at this address

About NPI 1295225431

Latisa Clark, LPN's National Provider Identifier is 1295225431, issued on May 14, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milford, DE. The record was last updated on May 14, 2018.