Healthcare Provider Details

I. General information

NPI: 1760148621
Provider Name (Legal Business Name): ALEXANDRA COYNE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 NORWICH RD
PLAINFIELD CT
06374-1727
US

IV. Provider business mailing address

207 BROADWAY
NEWPORT RI
02840-2610
US

V. Phone/Fax

Practice location:
  • Phone: 860-230-0020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN02915
License Number StateRI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: