Healthcare Provider Details

I. General information

NPI: 1821220187
Provider Name (Legal Business Name): ARLENE HALSTEAD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2009
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 KING ST
RYE BROOK NY
10573-1069
US

IV. Provider business mailing address

5950 NW HANN DR
PORT ST LUCIE FL
34986-3848
US

V. Phone/Fax

Practice location:
  • Phone: 914-424-3508
  • Fax: 407-349-1558
Mailing address:
  • Phone: 914-439-2205
  • Fax: 407-349-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number4047
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4047
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335653
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4047
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: