Provider Demographics
NPI:1689104499
Name:HALSTEAD, ALEXANDER ELIOT (DNP, CRNP, CRNA, FNP)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ELIOT
Last Name:HALSTEAD
Suffix:
Gender:M
Credentials:DNP, CRNP, CRNA, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 W. BELVEDERE AVE, 5TH FLOOR
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA, SINAI HOSPITAL OF BALTIMORE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-5209
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF ANESTHESIA, SINAI HOSPITAL OF BALTIMORE
Practice Address - Street 2:2435 W. BELVEDERE AVE, 5TH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR195987163W00000X, 363LF0000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily