Tracy Tetreault
Registered Nurse in Providence, RI. Individual provider (NPI-1).
NPI number1801763529
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1801763529
- Entity type
- Individual (NPI-1)
- Name
- Tracy Tetreault
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2025
- Certification date
- Oct 17, 2025
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 76532 | RI | Yes |
Practice location
593 Eddy StCrescent Building, Room103
Providence, RI 02903-4923
Phone 401-444-8714
Mailing address
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-8714
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