IndividualActive
Alex Etienne, MD
NPI 1447221866 · Addiction Medicine (Internal Medicine) Physician · Providence, RI
Provider details
- NPI number
- 1447221866
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD11719 (RI)
Practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2363
Fax: (401) 456-6744
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.