Healthcare Provider Details

I. General information

NPI: 1770470346
Provider Name (Legal Business Name): EMILY KEISER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 WORCESTER ST
WELLESLEY MA
02481-5420
US

IV. Provider business mailing address

230 WORCESTER ST
WELLESLEY MA
02481-5420
US

V. Phone/Fax

Practice location:
  • Phone: 781-431-5400
  • Fax:
Mailing address:
  • Phone: 781-431-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN2389832
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2389832
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: