Healthcare Provider Details

I. General information

NPI: 1477496115
Provider Name (Legal Business Name): ALEXANDRA WARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXANDRA MURPHY

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

380 MATHER ST APT 6305
HAMDEN CT
06514-3198
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-8450
  • Fax:
Mailing address:
  • Phone: 408-355-0513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: