Individual
TRACY TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, CRESCENT BUILDING, ROOM103, PROVIDENCE, RI 02903-4923
(401) 444-8714
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76532
RI
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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