Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LA RISA GRAHAM, APRN
Active Sole ProprietorLA RISA GRAHAM, APRN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FRESH MEADOWS, New York. NPI 1164769030 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FRESH MEADOWS, NY
Registration Details
- NPI Number
- 1164769030
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2013 (13.407658415534 yrs)
- Last Updated
- Sep 7, 2025
- Licenses
-
26NJ14844200 (NJ)404814 (NY)794434 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6143 186TH ST STE 599FRESH MEADOWS, NY, 113652710Browse NY providers · Browse ZIP 11365
- Phone
- 5512093506
- Fax
- 6093631347
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Registered Nurse
Other Psychiatric/Mental Health Nurse Practitioner Providers in FRESH MEADOWS, NY
| Name | Credential | NPI |
|---|---|---|
| MINDY S LOREN-WEINER | NPP | 1033208780 |
| MRS. SHARLENE WILLOCK | FNP, PMHNP | 1659512051 |
| BETTY PIERRE-BULY | REGISTERED NURSE | 1982917266 |
| JANE OTTAH | PMHNP | 1861755787 |
| NICOLE CHANG | PMHNP | 1881314292 |
| HAIYUE ZHONG | — | 1619775970 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.