Provider Demographics
NPI:1063451383
Name:ALDEN, MEIGS ALEXANDER (CRNA)
Entity Type:Individual
Prefix:MR
First Name:MEIGS
Middle Name:ALEXANDER
Last Name:ALDEN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2606
Mailing Address - Country:US
Mailing Address - Phone:508-394-3099
Mailing Address - Fax:
Practice Address - Street 1:39 DOUBLE EAGLE DR
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2575
Practice Address - Country:US
Practice Address - Phone:508-833-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA118379367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered