Black, Latisha

Black, Latisha is an sole proprietor health care provider with primary practice located at 810 N 107Th Ave Apt 301 , Omaha NE 68114-2042. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Black, Latisha can be contacted via phone (402) 612-1856.

Contact Information

Primary practice address
810 N 107Th Ave Apt 301 Omaha NE 68114-2042
Phone: (402) 612-1856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 56246 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 112100 Nebraska

Profile Details

NPI number 1033662242
LBN Legal business name Black, Latisha
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2016
Last updated Sep 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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