Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

La'Nae NA Gresham, FNP

Individual provider Family Nurse Practitioner · NPI 1215707179

La'Nae NA Gresham, FNP is a Nurse Practitioner in Teaneck, New Jersey. Qualified in 2023, 3 years ago. Practices with Mount Vernon Neighborhood Health Center Inc, a 49-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1485 Buffett Ter
Teaneck, NJ 07666-6027
Phone: (917) 744-4052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F351612 (NY)

Record details

NPI number1215707179
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 2, 2024
Mailing address1485 Buffett Ter, Teaneck, NJ 07666-6027

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mount Vernon Neighborhood Health Center Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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