Nurse Practitioner, Gerontology
LATISHA BLACK APRN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1033662242 · enumerated 2016-07-25 · record updated 2025-11-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: LATISHA BLACK
Addresses and phones
- Mailing address 810 N 107TH AVE APT 301, OMAHA, NE, 68114-2042 (402) 612-1856 Google Maps Apple Maps OpenStreetMap
- Practice location 810 N 107TH AVE APT 301, OMAHA, NE, 68114-2042 (402) 612-1856 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · License H156127 IA
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 112100 NE
- Registered Nurse 163W00000X · License 56246 NE
In this directory
Locations and evidence
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Practice location
OMAHA, NE, 681142042
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.