Healthcare Provider Details

I. General information

NPI: 1477479236
Provider Name (Legal Business Name): EMMA HSU
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 THOMPSON RD
WEBSTER MA
01570-1509
US

IV. Provider business mailing address

2079 KILLINGLY COMMONS DR # 1039
KILLINGLY CT
06241-2190
US

V. Phone/Fax

Practice location:
  • Phone: 508-949-8988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN10020197
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: