Healthcare Provider Details

I. General information

NPI: 1316563869
Provider Name (Legal Business Name): ALEXA RAE STEENBRUGGEN MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2020
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 RESERVOIR AVE
CRANSTON RI
02920-6068
US

IV. Provider business mailing address

8 GOSSETS TURN DR
MIDDLETOWN RI
02842-7900
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF10201042
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: