I've flown into PVD a few times, and I think that the basic thing that makes it confusing at times is it's strange shape. Nothing is on a north/south/east/west heading, and although there's lots of airports like that, the runways and taxiways aren't at 90 degree angles either. So their just random turns compared to a structured route. At night I requested progressive taxi instructions and the lady was happy to do that. It wasn't the lady in this recording, though!
Nick