Individual provider · Type 1 NPI

Regine Blaise, FPMHNP

Psychiatric/Mental Health Nurse Practitioner · Forest Hills, NY

NPI number 1144929209 Active

Practice location

11835 Queens Blvd Ste 1630
Forest Hills, NY 11375-7256

Mailing address

PO Box 1133
West Babylon, NY 11704-0133

Other practice locations

  • 276 5th Ave # 704-2112, New York, NY 10001-4509 · (415) 671-2165

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X26NJ15040200 (NJ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF404790 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1144929209

Regine Blaise, FPMHNP's National Provider Identifier is 1144929209, issued on Feb 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Forest Hills, NY. The record was last updated on Apr 24, 2025.