Miss. Regine Blaise, FPMHNP
Miss. Regine Blaise, FPMHNP is a Nurse Practitioner in Forest Hills, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in New Jersey and New York.
- Years since qualifying
- 4
- Licensed in
- NJ, NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
11835 Queens Blvd Ste 1630Forest Hills, NY 11375-7256
Phone: (925) 231-4325
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 276 5th Ave # 704-2112, New York, NY 10001-4509 — (415) 671-2165
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F404790 (NY) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 26NJ15040200 (NJ) |
Record details
| NPI number | 1144929209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FPMHNP |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2023 |
| Last updated in NPPES | April 24, 2025 |
| Certification date | April 24, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Forest Hills
-
Dorota Hajduk, NP
6120 Grand Central Pkwy Apt B1209, Forest Hills, NY 11375-1243 · (646) 248-0699
-
Dr. Adebola Osewa, DNP, PMHNP, FNP
10201 66th Rd, Forest Hills, NY 11375-2029 · (718) 830-4316