Individual provider · Type 1 NPI
La Risa Graham, APRN
Psychiatric/Mental Health Nurse Practitioner · Fresh Meadows, NY
NPI number
1164769030
Active
Practice location
6143 186th St Ste 599
Fresh Meadows, NY 11365-2710
Fax (609) 363-1347
Mailing address
6143 Springfield Blvd Unit 640221
Bayside, NY 11364-3480
Other practice locations
- 2 University Plz Ste 100, Hackensack, NJ 07601-6210 · (551) 209-3506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ14844200 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404814 (NY) |
| Registered Nurse | 163W00000X | 794434 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Fresh Meadows
- Mindy S. Loren-Weiner, NPPPsychiatric/Mental Health Nurse Practitioner Fresh Meadows, NY NPI 1033208780
- Haiyue ZhongPsychiatric/Mental Health Nurse Practitioner Fresh Meadows, NY NPI 1619775970
- Sharlene Willock, FNP, PMHNPPsychiatric/Mental Health Nurse Practitioner Fresh Meadows, NY NPI 1659512051
- Jane Ottah, PMHNPPsychiatric/Mental Health Nurse Practitioner Fresh Meadows, NY NPI 1861755787
- Nicole Chang, PMHNPPsychiatric/Mental Health Nurse Practitioner Fresh Meadows, NY NPI 1881314292
About NPI 1164769030
La Risa Graham, APRN's National Provider Identifier is 1164769030, issued on Jan 11, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 7, 2025.