Individual
ALEXANDRA TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Mailing address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01765
RI
Other
Enumeration date
02/10/2025
Last updated
03/18/2025
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