Provider Demographics
NPI:1942001508
Name:ALEXANDER, DANTE HAROLD (CRNP-PMH, CRNP-ADULT)
Entity type:Individual
Prefix:PROF
First Name:DANTE
Middle Name:HAROLD
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:CRNP-PMH, CRNP-ADULT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 BRIGHTON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3911
Mailing Address - Country:US
Mailing Address - Phone:443-939-1001
Mailing Address - Fax:
Practice Address - Street 1:3032 BRIGHTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3911
Practice Address - Country:US
Practice Address - Phone:443-939-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR219331363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health