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LATISA CLARK LPN
NPI 1295225431
Licensed Practical Nurse in Milford, DE

Active since May 14, 2018
769 E MASTEN CIR STE 113, MILFORD, DE 19963(302) 856-4700 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latisa Clark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATISA CLARK LPN (NPI 1295225431) is an individual licensed practical nurse in Milford, Delaware, licensed in Delaware (L2-0012231) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1295225431
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLATISA CLARKCredential: LPN
Location Address769 E MASTEN CIR STE 113Milford, DE 19963-1268
Mailing Address769 E Masten Cir Ste 113Milford, DE 19963-1268 · (302) 856-4700
Phone(302) 856-4700
Sole ProprietorNo
Enumeration DateMay 14, 2018
✔ NPI 1295225431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in DE · L2-0012231
Definition
A licensed practical nurse 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.
769 E MASTEN CIR STE 113, Milford, DE 19963
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RENEE CUMENS MMS, PA-C
Physician Assistant
769 E MASTEN CIR STE 113
MILFORD, DE 19963
Sussex County (302) 856-4700
KHALIL ABDAR-RASHID
Counselor (Addiction (Substance Use Disorder))
769 E MASTEN CIR STE 113
MILFORD, DE 19963
Sussex County (302) 856-4700
SANDRA SYGLOWSKI
Counselor (Addiction (Substance Use Disorder))
769 E MASTEN CIR STE 113
MILFORD, DE 19963
Sussex County (302) 856-4700
RICHEEL LEE
Counselor (Addiction (Substance Use Disorder))
769 E MASTEN CIR STE 113
MILFORD, DE 19963
Sussex County (302) 856-4700
CASSAUNDRA SOUK
Counselor (Addiction (Substance Use Disorder))
769 E MASTEN CIR STE 113
MILFORD, DE 19963
Sussex County (302) 856-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latisa Clark's NPI number?

The NPI number for Latisa Clark is 1295225431. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Latisa Clark located?

Latisa Clark practices at 769 E Masten Cir Ste 113, Milford, DE 19963. The listed phone number is (302) 856-4700.

What is Latisa Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Latisa Clark was last updated on May 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.