IndividualActive
Alisha Grenade, PMHNP-BC
NPI 1356615447 · Psychiatric/Mental Health Nurse Practitioner · Queens Village, NY
Provider details
- NPI number
- 1356615447
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 649732 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21240 112th Rd
Queens Village, NY 11429-2314
Phone: (917) 705-1426
Approximate (ZIP-level) locationGet directions
Mailing address
21240 112th Rd
Queens Village, NY 11429-2314
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.