Individual provider · Type 1 NPI
Alisha Grenade, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Queens Village, NY
NPI number
1356615447
Active
Practice location
21240 112th Rd
Queens Village, NY 11429-2314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 649732 (NY) |
| Family Nurse Practitioner | 363LF0000X | F342593-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403360 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356615447
Alisha Grenade, PMHNP-BC's National Provider Identifier is 1356615447, issued on Mar 7, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queens Village, NY. The record was last updated on Apr 3, 2025.