IndividualActive
Latisha Black, APRN
NPI 1033662242 · Gerontology Nurse Practitioner · Omaha, NE
Provider details
- NPI number
- 1033662242
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- H156127 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
810 N 107th Ave Apt 301
Omaha, NE 68114-2042
Phone: (402) 612-1856
Approximate (ZIP-level) locationGet directions
Mailing address
810 N 107th Ave Apt 301
Omaha, NE 68114-2042
Registry dates
- Enumerated
- 2016-07-25
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.