Grenade, Alisha

Grenade, Alisha is an individual health care provider with primary practice located at 21240 112Th Rd , Queens Village NY 11429-2314. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grenade, Alisha can be contacted via phone (917) 705-1426.

Contact Information

Primary practice address
21240 112Th Rd Queens Village NY 11429-2314
Phone: (917) 705-1426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403360-01 New York
Nursing Service Providers / Registered Nurse 163W00000X 649732 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F342593-1 New York

Profile Details

NPI number 1356615447
LBN Legal business name Grenade, Alisha
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2012
Last updated Apr 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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