RENAE DATKHAYEV FNP
NPI 1710803994
Nurse Practitioner - Family in Forest Hills, NY
Active since June 24, 2026
About Renae Datkhayev Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAE DATKHAYEV FNP (NPI 1710803994) is an individual family provider in Forest Hills, New York, licensed in New York (355929) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1710803994
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENAE DATKHAYEVCredential: FNP
Location Address10923 71ST RD APT 1GForest Hills, NY 11375-4809
Mailing Address10923 71st Rd Apt 1gForest Hills, NY 11375-4809
Phone(917) 428-8414
Sole ProprietorNo
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1710803994 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 355929
10923 71ST RD APT 1G, Forest Hills, NY 11375
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710803994, enumerated as an "individual" on June 24, 2026.
The provider is located at 10923 71ST RD APT 1G FOREST HILLS, NY 11375 and the phone number is (917) 428-8414.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
